Healthcare Provider Details

I. General information

NPI: 1700729977
Provider Name (Legal Business Name): MERLE JONES CNA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/13/2026
Last Update Date: 04/13/2026
Certification Date: 04/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 S 10TH ST APT A4
CABOT AR
72023-2972
US

IV. Provider business mailing address

205 S 10TH ST APT A4
CABOT AR
72023-2972
US

V. Phone/Fax

Practice location:
  • Phone: 501-453-2329
  • Fax:
Mailing address:
  • Phone: 501-453-2329
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374700000X
TaxonomyTechnician
License NumberAR000065521E
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: