Individual
JONATHAN SCOTT NUNLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2710 S RIFE MEDICAL LN, ROGERS, AR 72758-1452
(479) 338-8000
(479) 338-3056
Mailing address
PO BOX 507, LOWELL, AR 72745-0507
(913) 647-4100
(913) 647-4120
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
E4615
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104885581
—
MO
05
—
159158001
—
AR
05
—
200003690A
—
OK
01
—
5N453
BCBS ARKANSAS
AR
01
—
P00288003
RR
AR
Enumeration date
03/22/2006
Last updated
02/05/2025
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