Individual
STACIE MCHAN JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 CHILDREN'S WAY # 653, LITTLE ROCK, AR 72202-3510
(501) 364-1100
Mailing address
1 CHILDREN'S WAY # 653, LITTLE ROCK, AR 72202-3510
(501) 364-1100
Taxonomy
Speciality
Code
Description
License number
State
2080P0201X
Pediatric Allergy/Immunology Physician
Primary
C-7726
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126357001
—
AR
Enumeration date
09/22/2006
Last updated
03/03/2009
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