Individual provider Active NPI

Stephanie L Jones

  • Psychiatric/Mental Health Nurse Practitioner
  • Jonesboro, AR
National Provider Identifier
1275204091
Registry record updated Sep 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
217647 Issued in AR
Practice address
2815 Longview Dr
Jonesboro, AR 72401-5919
Phone
(870) 243-0424
NPI assigned
Sep 22, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 217647 AR Primary

Addresses

Primary practice location

2815 Longview Dr
Jonesboro, AR 72401-5919

Mailing address

1105 Easley LN
Jonesboro, AR 72401-9125
Phone (901) 859-1010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211001001735 AR Practitioner - Nurse Practitioner 8527466754 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Trinity Mental Health and Family Practice PLLCGroup PAC ID 1658859657, 3 clinicians

Practice addresses (Care Compare)

1327 Stone St
Jonesboro, AR 72401-4523
Phone (870) 206-2785

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
217647ARMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Renew Mental Health and Wellness, LLC CurrentSince Sep 20, 2021 Accepting new patients
Trinity Mental Health and Family Practice PLLC Psychiatric/Mental Health CurrentSince Dec 6, 2025 Accepting new patients
Diffine Family Practice PLLC CurrentSince Aug 9, 2024 Accepting new patients
Renew Mental Health and Wellness LLC Psychiatric/Mental Health CurrentSince Sep 20, 2021 Accepting new patients

Locations

1100 Medical Dr
Ste C
Blytheville, AR 72315
Phone (870) 472-8403

1150 E Matthews Ave
Ste 101A
Jonesboro, AR 72401
Phone (870) 243-0424

2815 Longview Dr
Jonesboro, AR 72401
Phone (870) 203-9857

1327 Stone St
Jonesboro, AR 72401
Phone (870) 206-2785

160 Greene 721 Rd
Ste 4
Paragould, AR 72450
Phone (870) 637-0319

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1632268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632268800000",
    "number": "1275204091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 EASLEY LN",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724019125",
            "telephone_number": "901-859-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2815 LONGVIEW DR",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724015919",
            "telephone_number": "870-243-0424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "STEPHANIE",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-22",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AR",
            "license": "217647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, AR

Sources for this page

Verify at the official NPI Registry.