Stephane Sue Anna Jones, LPN
Individual provider Active NPI Licensed Practical Nurse · Prescott, AR
NPI 1760967418 · NPPES record last updated Sep 28, 2018
Key facts
- NPI
- 1760967418
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- L059889 (AR)
- Practice address
- 1658 US Highway 371
Prescott, AR 71857-7064 - Phone
- (870) 887-3660
- NPI assigned
- Sep 28, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L059889 | AR | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | L059889 | AR | Yes |
Addresses
Primary practice location
1658 US Highway 371
Prescott, AR 71857-7064
Mailing address
2904 Arkansas Blvd
Texarkana, AR 71854-2536
Phone (870) 773-4655
Other providers in Prescott, AR
- Jason R Johnson
- Jeffery Trey Johnson
- Shanita Michelle Johnson
- Deidra Denise Jones
- James Russell Jones
- Tracy Jones
- Daniel Drew Kaufman
- Kenyetta Keel
- Gabriel Tanner Kleschick
- Georgia Louise Kleschick
All providers in Prescott, AR · Licensed Practical Nurse in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 28, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.