Healthcare Provider Details

I. General information

NPI: 1962371971
Provider Name (Legal Business Name): JRMJ, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/30/2025
Last Update Date: 10/30/2025
Certification Date: 10/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

305 E 20TH ST STE 100
HOPE AR
71801-8218
US

IV. Provider business mailing address

305 E 20TH ST STE 100
HOPE AR
71801-8218
US

V. Phone/Fax

Practice location:
  • Phone: 918-600-2701
  • Fax: 539-390-3009
Mailing address:
  • Phone: 918-600-2701
  • Fax: 539-390-3009

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: REBECCA B. WILLIAMSON
Title or Position: AUTHORIZED OFFICIAL
Credential:
Phone: 918-685-2896