Provider Demographics
NPI:1922518406
Name:JONES, JERRY ARTHUR (MD)
Entity Type:Individual
Prefix:
First Name:JERRY
Middle Name:ARTHUR
Last Name:JONES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:JERRY
Other - Middle Name:ARTHUR
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:430 JANAN CT
Mailing Address - Street 2:
Mailing Address - City:CONWAY
Mailing Address - State:AR
Mailing Address - Zip Code:72034-5606
Mailing Address - Country:US
Mailing Address - Phone:501-329-3165
Mailing Address - Fax:
Practice Address - Street 1:430 JANAN CT
Practice Address - Street 2:
Practice Address - City:CONWAY
Practice Address - State:AR
Practice Address - Zip Code:72034-5606
Practice Address - Country:US
Practice Address - Phone:501-329-3165
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-10
Last Update Date:2017-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARC-6168207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty