MARY SHANNON JONES (NPI# 1265460430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265460430 |
| Entity Type | Individual |
| Full Name | MARY SHANNON JONES |
| Credential | APRN |
| Practice Address |
3232 N Northhills Blvd Fayetteville AR 72703-4005 |
| Practice Telephone | 4795871700 |
| Practice Fax Number | 4795871366 |
| Mailing Telephone | 1495871700 |
| Mailing Fax Number | 4795871366 |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2020-03-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
A001694 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200522720A | 05 | |
| AR | 158499758 | 05 | |
| MO | 420010175 | 05 | |
| AR | AR BC/BS | 5A829 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285278333 | Mary Katelin Jones | Physical Therapist | 110 Professional Ln Ste 102, Harlan, KY 40831-3547 | 2019-11-01 |
| 1831732841 | Mary Lorraine Jones | Speech-Language Pathologist | 1228 Clay St, Port Townsend, WA 98368-6602 | 2019-10-22 |
| 1972152023 | Mary L Jones | Technician | 7334 Bastogne Rd., Houston, TX 77033 | 2019-09-10 |
| 1437654464 | Mary Jones | Licensed Practical Nurse | 2467 Route 302, Middletown, NY 10941-3224 | 2018-03-30 |
| 1790285427 | Mary Oseh Jones | Registered Nurse | 2120 Dayton Ln, Grand Prairie, TX 75052-8813 | 2018-02-19 |
| 1316465487 | Mary Deshone Jones | Technician, Other | 4511 Miller Rd Ste 4-1, Flint, MI 48507-1107 | 2017-09-08 |
| 1649700220 | Mary Kathleen Jones | Doula | 255 E Parkview Dr, Grand Junction, CO 81503-2034 | 2017-06-15 |
| 1205370590 | Mary Ann Jones | Case Manager/Care Coordinator | 1964 Brooks Rd, 1964 Brooks Rd, Buffalo, KY 42716-8124 | 2016-12-06 |
| 1487072526 | Mary Caitlin Jones | Physical Therapist | 100 Plaza Ln, Wellsboro, PA 16901 | 2014-04-05 |
| 1205258050 | Mary Jeanan Jones | Community Health Worker | 2817 Del Rio Place, Common Ground, Louisville, KY 40220 | 2014-01-14 |
| Street Address |
3232 N NORTHHILLS BLVD |
| City | FAYETTEVILLE |
| State | AR |
| Zip Code | 72703-4005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952372120 | J Thaddeus Beck | Internal Medicine | 3232 N Northhills Blvd, Fayetteville, AR 72703-4005 | 2006-01-27 |
| 1053936047 | Olivia Harber | Genetic Counselor, MS | 3232 N Northhills Blvd, Fayetteville, AR 72703-4005 | 2020-06-15 |
| 1114427549 | Susan L Ezell | Nurse Practitioner | 3232 N Northhills Blvd, Fayetteville, AR 72703-4005 | 2018-02-12 |
| 1750811758 | Lauren Ballard | Registered Nurse | 3232 N Northhills Blvd, Fayetteville, AR 72703-4005 | 2017-06-13 |
| 1619406949 | Bailie N Moore | Nurse Practitioner | 3232 N Northhills Blvd, Fayetteville, AR 72703-4005 | 2017-06-09 |
| 1093181794 | Stephanie A Newman | Nurse Practitioner | 3232 N Northhills Blvd, Fayetteville, AR 72703-4005 | 2015-08-17 |
| 1356726020 | Amber D Nguyen | Nurse Practitioner | 3232 N Northhills Blvd, Fayetteville, AR 72703-4005 | 2015-07-23 |
| 1295113272 | Jillian Lorraine Graves | Nurse Practitioner | 3232 N Northhills Blvd, Fayetteville, AR 72703-4005 | 2015-05-11 |
| 1295122315 | Mark William Pickhardt | Urology | 3232 N Northhills Blvd, Fayetteville, AR 72703-4005 | 2015-04-16 |
| 1245631902 | Miriam Elaine Porter | Nurse Practitioner | 3232 N Northhills Blvd, Fayetteville, AR 72703-4005 | 2014-09-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154391 | Margaret Sorrells | Pharmacist | 3909 N Mall Ave Attn:pharmacy, Fayetteville, AR 72703 | 2020-11-06 |
| 1497369631 | Justin A Rand | Massage Therapist | 88 W Colt Square Dr, Fayetteville, Ar 72703, Fayetteville, AR 72703 | 2020-09-04 |
| 1235777558 | Washington Regional Medical System | Specialist | 3264 N North Hills Blvd, Fayetteville, AR 72703 | 2019-12-17 |
| 1760024582 | Haley Brooke Thompson | Occupational Therapist | 2474 E Joyce Blvd Ste 2, Null, Fayetteville, AR 72703 | 2019-10-14 |
| 1306492129 | Bhg L, LLC | Clinic/Center | 8 Colt Square Drive, Fayetteville, AR 72703 | 2019-08-16 |
| 1306406269 | Idell Marie Mitchell | Optometrist | Eye Clinic, 1100 N College Ave, Fayetteville, AR 72703 | 2019-06-13 |
| 1821574815 | Toni Myer | Nurse Practitioner | 3 E Appleby Rd Ste 101, Fayetteville, AR 72703 | 2018-07-13 |
| 1306340393 | Josh Kelfer | Student in an Organized Health Care Education/Training Program | 1125 North College Avenue, Fayetteville, AR 72703 | 2018-03-22 |
| 1649726449 | Vantage Point of Nwa | Community/Behavioral Health | 4171 N. Crossover Rd, Fayetteville, AR 72703 | 2016-08-31 |
| 1386097137 | Jason Nordstrom | Speech-Language Pathologist | 2664 N Valencia Ave, Fayetteville, AR 72703 | 2016-07-18 |
| Find all providers in zip 72703 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528674181 | Maggie Mullican | Nurse Practitioner | 7084 S Pleasant Ridge Dr, Fayetteville, AR 72704-5447 | 2020-09-18 |
| 1720690167 | Stephen Arthur Lepak | Nurse Practitioner | 6871 Appleton Dr, Fayetteville, PA 17222-9383 | 2020-08-18 |
| 1750990255 | Towauna Daya | Nurse Practitioner | 1338 Redwine Rd, Fayetteville, GA 30215-2509 | 2020-07-30 |
| 1316555642 | Constance Ofundem Takang | Nurse Practitioner | 110 Emerald Lake Ct, Fayetteville, GA 30215-7747 | 2020-07-22 |
| 1851916472 | Breanna Mills | Nurse Practitioner | 2623 N Fire Fly Catch Dr, Fayetteville, AR 72704-6313 | 2020-06-09 |
| 1922621069 | Laura Sarai Perez | Nurse Practitioner | 480 Lees Lake Rd, Fayetteville, GA 30214-3106 | 2020-05-23 |
| 1902431125 | Crystal Baker English | Nurse Practitioner | 113 Old Bethel Rd, Fayetteville, TN 37334-6186 | 2020-03-09 |
| 1568092708 | Stephanie Elizabeth Fields | Nurse Practitioner | 1265 Highway 54 Ste 402, Fayetteville, GA 30214-4537 | 2020-01-15 |
| 1437616364 | Andrea Teal Bergman | Nurse Practitioner | Physicians Medical Walk In Care, 2893 Huntsville Hwy, Fayetteville, TN 37334-6729 | 2019-02-27 |
| 1639634447 | Arica Adams-gro'ce | Nurse Practitioner | 4028 Lifestyle Rd, Fayetteville, NC 28312-9335 | 2019-02-06 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 72703 |
Please comment or provide details below to improve the information on MARY SHANNON JONES.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.