Individual
DR. NANCY L JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1101 JACKSON ST SW, GRAVETTE, AR 72736-9121
(479) 787-5221
(479) 787-5613
Mailing address
1101 JACKSON ST SW, GRAVETTE, AR 72736-9121
(479) 787-5221
(479) 787-5613
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2014012157
MO
207Q00000X
Family Medicine Physician
Primary
C7928
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100072480A
—
OK
01
—
100726240D
OK GROUP MEDICAID NUMBER
OK
05
—
121595001
—
AR
05
—
206678013
—
MO
01
—
P00199474
RAILROAD MEDICARE NUMBER
AR
Enumeration date
05/04/2006
Last updated
10/16/2023
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