Provider Demographics
NPI:1578557906
Name:JONES, ARLAND DALE (ARNP)
Entity Type:Individual
Prefix:MR
First Name:ARLAND
Middle Name:DALE
Last Name:JONES
Suffix:
Gender:M
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:874 BARNES CROSSING ROAD
Mailing Address - Street 2:
Mailing Address - City:TUPELO
Mailing Address - State:MS
Mailing Address - Zip Code:38804-0909
Mailing Address - Country:US
Mailing Address - Phone:662-841-0002
Mailing Address - Fax:662-269-6346
Practice Address - Street 1:874 BARNES CROSSING ROAD
Practice Address - Street 2:
Practice Address - City:TUPELO
Practice Address - State:MS
Practice Address - Zip Code:38804-0909
Practice Address - Country:US
Practice Address - Phone:662-841-0002
Practice Address - Fax:662-269-6346
Is Sole Proprietor?:No
Enumeration Date:2005-08-31
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-089794163W00000X
MSR853512163WE0003X, 363LF0000X
OKR0077731363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
No163WE0003XNursing Service ProvidersRegistered NurseEmergency
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK1700777OtherHOSPITAL PRESCRIBER NUMBE
MS512I500172OtherMEDICARE PTAN
OK100850700AMedicaid
OK100850700BMedicaid
MS07022069Medicaid
MS$$$$$$$$$OtherBLUE CROSS
OK448549936PMedicare ID - Type Unspecified
OKP78633Medicare UPIN
MS07022069Medicaid