Healthcare Provider Details

I. General information

NPI: 1619733656
Provider Name (Legal Business Name): JOURNEY HEALTH AND WELLNESS, PLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2024
Last Update Date: 02/27/2024
Certification Date: 02/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 WINDOVER RD
JONESBORO AR
72401-5968
US

IV. Provider business mailing address

301 WINDOVER RD
JONESBORO AR
72401-5968
US

V. Phone/Fax

Practice location:
  • Phone: 870-847-3169
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: BRITTANY BARNETT
Title or Position: APRN
Credential: CNP
Phone: 870-847-3169