Individual provider Active NPI

Jahnneliz Marie Jones

  • Psychiatric/Mental Health Nurse Practitioner
  • Rogers, AR
National Provider Identifier
1891467726
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
217659 Issued in AR
Practice address
5212 W Village Pkwy Ste 8
Rogers, AR 72758-8190
Phone
(479) 324-2671
Fax
(479) 398-8346
NPI assigned
Sep 29, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

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 217659 AR Primary

Addresses

Primary practice location

5212 W Village Pkwy Ste 8
Rogers, AR 72758-8190

Mailing address

5212 W Village Pkwy Ste 8
Rogers, AR 72758-8190
Phone (479) 324-2671

Other names 1

  • Jahnneliz Marie Perez Pabon Other name

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
I20220912002079 AR Practitioner - Nurse Practitioner 5193100105 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ketamine and IV Therapy Clinic of Nwa LLCGroup PAC ID 6507308707, 12 clinicians
Psyche Nwa LLCGroup PAC ID 7618465717, 2 clinicians

Practice addresses (Care Compare)

101 Grant PL
Suite C
Lowell, AR 72745-7103
Phone (479) 318-2382

4253 N Crossover Rd
Fayetteville, AR 72703-4593
Phone (479) 521-5731

5212 W Village Pkwy
Suite 8
Rogers, AR 72758-8190
Phone (904) 894-9260

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Texarkana Behavioral Associates, L.C. CurrentSince Aug 22, 2023 Accepting new patients
Ketamine and IV Therapy Clinic of Nwa LLC Psychiatric/Mental Health CurrentSince Nov 12, 2024 Accepting new patients
Texarkana Behavioral Associates, L.C. Current Accepting new patients
Psyche Nwa LLC Psychiatric/Mental Health CurrentSince Sep 22, 2025 Accepting new patients
Holden Psychiatric Institute, PA PastSince Aug 1, 2024 Accepting new patients
Dauntless Psychiatry PastSince Oct 1, 2021 Accepting new patients
Holden Psychiatric Institute, PA Psychiatric/Mental Health PastSince Nov 17, 2024 Accepting new patients

Locations

815 Fort St
Ste A
Barling, AR 72923
Phone (479) 494-5740

4253 N Crossover Rd
Fayetteville, AR 72703
Phone (479) 443-6496

101 Grant Pl
Ste C
Lowell, AR 72745
Phone (479) 313-2382

5212 W Village Pkwy
Ste 8
Rogers, AR 72758
Phone (479) 324-2671

6100 Tower Cir
Ste 1000
Franklin, TN 37067
Phone (615) 454-7459

Organizations & group practices 7

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": "1632873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758499200000",
    "number": "1891467726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5212 W VILLAGE PKWY STE 8",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727588190",
            "telephone_number": "479-324-2671",
            "fax_number": "479-398-8346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5212 W VILLAGE PKWY STE 8",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727588190",
            "telephone_number": "479-324-2671",
            "fax_number": "479-398-8346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "JAHNNELIZ",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-29",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AR",
            "license": "217659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAHNNELIZ",
            "last_name": "PEREZ PABON",
            "middle_name": "MARIE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rogers, AR

Sources for this page

Verify at the official NPI Registry.