Organization
PSYCHE NWA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW CASEY JONES CRNA (OWNER)
(870) 378-1876
Entity
Organization
Contact information
Practice address
5212 W VILLAGE PKWY STE 8, ROGERS, AR 72758-8190
(904) 894-9260
Mailing address
5212 W VILLAGE PKWY STE 8, ROGERS, AR 72758-8190
(479) 324-2671
(479) 398-8346
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
09/01/2025
Last updated
09/22/2025
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