Healthcare Provider Details

I. General information

NPI: 1952224529
Provider Name (Legal Business Name): JONATHAN S NUNLEY MD PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2026
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2710 S RIFE MEDICAL LN
ROGERS AR
72758-1452
US

IV. Provider business mailing address

7103 W HILLCREST CT
ROGERS AR
72758-8987
US

V. Phone/Fax

Practice location:
  • Phone: 479-366-8506
  • Fax:
Mailing address:
  • Phone: 479-366-8506
  • Fax: 479-366-8506

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State

VIII. Authorized Official

Name: JONATHAN NUNLEY
Title or Position: PRESIDENT
Credential: MD
Phone: 479-366-8506