Healthcare Provider Details

I. General information

NPI: 1922336031
Provider Name (Legal Business Name): JONES ANESTHESIA INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/01/2009
Last Update Date: 05/24/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7001 ROGERS AVE SUITE 502
FORT SMITH AR
72903-4073
US

IV. Provider business mailing address

PO BOX 11112
FORT SMITH AR
72917-1112
US

V. Phone/Fax

Practice location:
  • Phone: 479-484-5901
  • Fax:
Mailing address:
  • Phone: 615-620-2320
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number
License Number State

VIII. Authorized Official

Name: AARON A JONES
Title or Position: OWNER
Credential: CRNA
Phone: 931-205-2179