Healthcare Provider Details

I. General information

NPI: 1265336218
Provider Name (Legal Business Name): JESSICA NICOLE HOOD APRN-CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 MARTIN LUTHER KING BLVD STE 200
MALVERN AR
72104-2217
US

IV. Provider business mailing address

PO BOX 1848
MENA AR
71953-1841
US

V. Phone/Fax

Practice location:
  • Phone: 888-710-8220
  • Fax: 866-573-0761
Mailing address:
  • Phone: 888-710-8220
  • Fax: 866-573-0761

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number239645
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: