Healthcare Provider Details

I. General information

NPI: 1558024273
Provider Name (Legal Business Name): BJONES PRIMARY CARE UNLIMITED, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/19/2021
Last Update Date: 04/08/2025
Certification Date: 04/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1519 N WASHINGTON ST
FORREST CITY AR
72335-2152
US

IV. Provider business mailing address

PO BOX 2454
FORREST CITY AR
72336-2454
US

V. Phone/Fax

Practice location:
  • Phone: 901-201-7193
  • Fax: 870-630-8086
Mailing address:
  • Phone: 901-201-7193
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: BETTY JEAN JONES
Title or Position: OWNER
Credential: FNP
Phone: 901-201-7193