Healthcare Provider Details

I. General information

NPI: 1326963802
Provider Name (Legal Business Name): JANET F BAXTER RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

310 HURRICANE DR.
JONESBORO AR
72401
US

IV. Provider business mailing address

301 HURRICANE DR
JONESBORO AR
72401-4977
US

V. Phone/Fax

Practice location:
  • Phone: 870-933-5881
  • Fax: 870-933-5812
Mailing address:
  • Phone: 870-926-5623
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberR043173
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: