Provider Demographics
NPI:1790709038
Name:JONES, ANGELA RACHELLE (DNP)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:RACHELLE
Last Name:JONES
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:ANGELA
Other - Middle Name:RACHELLE
Other - Last Name:FOWLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DNP
Mailing Address - Street 1:PO BOX 1960
Mailing Address - Street 2:
Mailing Address - City:JONESBORO
Mailing Address - State:AR
Mailing Address - Zip Code:72403-1960
Mailing Address - Country:US
Mailing Address - Phone:870-936-8000
Mailing Address - Fax:870-934-3652
Practice Address - Street 1:1111 WINDOVER RD
Practice Address - Street 2:
Practice Address - City:JONESBORO
Practice Address - State:AR
Practice Address - Zip Code:72401-6159
Practice Address - Country:US
Practice Address - Phone:870-936-8000
Practice Address - Fax:870-934-3652
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2018-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARA001808363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner