Individual
MARY SHANNON JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3232 N NORTHHILLS BLVD, FAYETTEVILLE, AR 72703-4005
(479) 587-1700
(479) 587-1366
Mailing address
3232 N NORTHHILLS BLVD, FAYETTEVILLE, AR 72703-4005
(149) 587-1700
(479) 587-1366
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A001694
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
158499758
—
AR
05
—
200522720A
—
OK
05
—
420010175
—
MO
01
—
5A829
AR BC/BS
AR
Enumeration date
06/28/2006
Last updated
03/30/2020
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