Healthcare Provider Details

I. General information

NPI: 1972522910
Provider Name (Legal Business Name): JEAN MARIE FINICAL APN, CNSANCC , AOCN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/19/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 N COLLEGE AVE
FAYETTEVILLE AR
72703-1944
US

IV. Provider business mailing address

16216 PIN OAK RD
FAYETTEVILLE AR
72704-8105
US

V. Phone/Fax

Practice location:
  • Phone: 479-443-4301
  • Fax: 479-587-5971
Mailing address:
  • Phone: 479-444-0784
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WX0200X
TaxonomyOncology Registered Nurse
License NumberR27029
License Number StateAR
# 2
Primary TaxonomyN
Taxonomy Code364SA2200X
TaxonomyAdult Health Clinical Nurse Specialist
License NumberS01031CNS
License Number StateAR
# 3
Primary TaxonomyY
Taxonomy Code364SX0200X
TaxonomyOncology Clinical Nurse Specialist
License NumberS01031CNS
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: