Provider Demographics
NPI:1649028242
Name:JONES, JASON RAY (FNP)
Entity type:Individual
Prefix:MR
First Name:JASON
Middle Name:RAY
Last Name:JONES
Suffix:
Gender:M
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:960 HIGHWAY 71 N
Mailing Address - Street 2:
Mailing Address - City:DE QUEEN
Mailing Address - State:AR
Mailing Address - Zip Code:71832-9415
Mailing Address - Country:US
Mailing Address - Phone:870-642-6420
Mailing Address - Fax:
Practice Address - Street 1:960 HIGHWAY 71 N
Practice Address - Street 2:
Practice Address - City:DE QUEEN
Practice Address - State:AR
Practice Address - Zip Code:71832-9415
Practice Address - Country:US
Practice Address - Phone:870-642-6420
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-08
Last Update Date:2024-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR228023363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily