Healthcare Provider Details

I. General information

NPI: 1801238779
Provider Name (Legal Business Name): MICHELLE JONES N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2013
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2223 GRANT ST
MALVERN AR
72104-4700
US

IV. Provider business mailing address

2223 GRANT ST
MALVERN AR
72104-4700
US

V. Phone/Fax

Practice location:
  • Phone: 870-761-6770
  • Fax: 501-283-7499
Mailing address:
  • Phone: 870-761-6770
  • Fax: 501-283-7499

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number226619
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: