Provider Demographics
NPI:1184347650
Name:JONES, FAITH NICOLE (OTD)
Entity type:Individual
Prefix:DR
First Name:FAITH
Middle Name:NICOLE
Last Name:JONES
Suffix:
Gender:F
Credentials:OTD
Other - Prefix:
Other - First Name:FAITH
Other - Middle Name:NICOLE
Other - Last Name:ALLEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1008 WIN BROOK CIR
Mailing Address - Street 2:
Mailing Address - City:JONESBORO
Mailing Address - State:AR
Mailing Address - Zip Code:72404-8513
Mailing Address - Country:US
Mailing Address - Phone:870-919-1171
Mailing Address - Fax:
Practice Address - Street 1:3114 FOX RD
Practice Address - Street 2:
Practice Address - City:JONESBORO
Practice Address - State:AR
Practice Address - Zip Code:72404-9322
Practice Address - Country:US
Practice Address - Phone:870-919-1171
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-20
Last Update Date:2022-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AROTR3681225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist