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1346208527

NPI Code Detail

MEDICARE: DR. NANCY L JONES MD

MEDICARE: DR. NANCY L JONES MD

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	207Q00000X	Family Medicine Physician	2014012157	MO
2	207Q00000X	Family Medicine Physician	C7928	AR

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	P00199474	OTHER	AR	RAILROAD MEDICARE NUMBER

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1346208527
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NANCY L JONES MD

Provider Business Mailing Address
First Line	:	1101 JACKSON ST SW
Second Line	:
City	:	GRAVETTE
State	:	AR
Zip	:	72736-9121
Country	:	US
Telephone Number	:	479-787-5221
Fax Number	:	479-787-5613

Provider Business Practice Location Address
First Line	:	1101 JACKSON ST SW
Second Line	:
City	:	GRAVETTE
State	:	AR
Zip	:	72736-9121
Country	:	US
Telephone Number	:	479-787-5221
Fax Number	:	479-787-5613

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

Provider Enumeration Date	:	05/04/2006
Last Update Date	:	10/16/2023

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Directions to “ DR. NANCY L JONES MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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