Individual
MR. JOHN S JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
225 E WASHINGTON AVE, JONESBORO, AR 72401-3111
(870) 207-1539
(870) 207-6581
Mailing address
107 HUNTCLIFF DR, JONESBORO, AR 72404-8844
(870) 761-2182
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
C8443
AR
207R00000X
Internal Medicine Physician
Primary
C8443
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
129915001
—
AR
Enumeration date
10/06/2005
Last updated
04/21/2026
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