MEDICARE: DR. JOHN ALLEN BURNETT M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	E7275	AR

General Provider Information

NPI Number	:	1235302399
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN ALLEN BURNETT M.D.

Provider Business Mailing Address
First Line	:	3024 RED WOLF BLVD STE 1
Second Line	:
City	:	JONESBORO
State	:	AR
Zip	:	72401-7431
Country	:	US
Telephone Number	:	870-336-8800
Fax Number	:	870-336-8801

Provider Business Practice Location Address
First Line	:	3024 RED WOLF BLVD STE 1
Second Line	:
City	:	JONESBORO
State	:	AR
Zip	:	72401-7431
Country	:	US
Telephone Number	:	870-336-8800
Fax Number	:	870-336-8801

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/10/2008
Last Update Date	:	01/29/2026

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