Individual
AIDA M JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1001 TOWSON AVE, FORT SMITH, AR 72901-4921
(479) 709-7435
(479) 709-7437
Mailing address
PO BOX 402319, ATLANTA, GA 30384-2319
(479) 709-7399
(479) 709-7053
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
P01087
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100080520A
—
OK
05
—
157639741
—
AR
Enumeration date
10/19/2005
Last updated
08/13/2010
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