Provider Demographics
NPI:1174192066
Name:JONES, ROBIN LYNNETTE
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:LYNNETTE
Last Name:JONES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 STONECREST CIR
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72204-5929
Mailing Address - Country:US
Mailing Address - Phone:501-350-3685
Mailing Address - Fax:501-353-2826
Practice Address - Street 1:7 STONECREST CIR
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72204-5929
Practice Address - Country:US
Practice Address - Phone:501-350-3685
Practice Address - Fax:501-353-2826
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-23
Last Update Date:2022-06-13
Deactivation Date:2022-02-01
Deactivation Code:
Reactivation Date:2022-06-13
Provider Licenses
StateLicense IDTaxonomies
AR385HR2060X, 385H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care
No385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child