Jones, Nancy L

Jones, Nancy L is an individual health care provider with primary practice located at 1101 Jackson St Sw , Gravette AR 72736-9121. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Jones, Nancy L can be contacted via phone (479) 787-5221.

Contact Information

Primary practice address
1101 Jackson St Sw Gravette AR 72736-9121
Phone: (479) 787-5221
Fax: (479) 787-5613
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2014012157 Missouri
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X C7928 Arkansas

Profile Details

NPI number 1346208527
LBN Legal business name Jones, Nancy L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Oct 16th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346208527 NPPES
Oklahoma Other 100726240D OK GROUP MEDICAID NUMBER
Oklahoma MEDICAID 121595001 OK GROUP MEDICAID NUMBER
Oklahoma MEDICAID 100072480A OK GROUP MEDICAID NUMBER
Oklahoma Other P00199474 OK GROUP MEDICAID NUMBER
Oklahoma MEDICAID 206678013 OK GROUP MEDICAID NUMBER

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