Provider Demographics
NPI:1194793224
Name:COVEY, JANET H (ANP)
Entity type:Individual
Prefix:MRS
First Name:JANET
Middle Name:H
Last Name:COVEY
Suffix:
Gender:F
Credentials:ANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:503 6TH ST
Mailing Address - Street 2:
Mailing Address - City:MARKED TREE
Mailing Address - State:AR
Mailing Address - Zip Code:72365-2725
Mailing Address - Country:US
Mailing Address - Phone:870-358-7444
Mailing Address - Fax:
Practice Address - Street 1:802 N ILLINOIS ST
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:AR
Practice Address - Zip Code:72432-1132
Practice Address - Country:US
Practice Address - Phone:870-578-5443
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-14
Last Update Date:2021-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARAO 1114 ANP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR5T356Medicare ID - Type Unspecified
ARS25694Medicare UPIN