Healthcare Provider Details

I. General information

NPI: 1962227942
Provider Name (Legal Business Name): JONALEE VOGEL APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/15/2024
Last Update Date: 05/15/2025
Certification Date: 05/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

722 HIGHWAY 282 SW
MOUNTAINBURG AR
72946-4308
US

IV. Provider business mailing address

4 HIGHWAY 71 NE
MOUNTAINBURG AR
72946-3189
US

V. Phone/Fax

Practice location:
  • Phone: 479-369-2091
  • Fax:
Mailing address:
  • Phone: 479-369-2091
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number220757
License Number StateOK
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number230745
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: