Provider Demographics
NPI:1891467726
Name:JONES, JAHNNELIZ MARIE
Entity type:Individual
Prefix:MRS
First Name:JAHNNELIZ
Middle Name:MARIE
Last Name:JONES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:JAHNNELIZ
Other - Middle Name:MARIE
Other - Last Name:PEREZ PABON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:5212 W VILLAGE PKWY STE 8
Mailing Address - Street 2:
Mailing Address - City:ROGERS
Mailing Address - State:AR
Mailing Address - Zip Code:72758-8190
Mailing Address - Country:US
Mailing Address - Phone:479-324-2671
Mailing Address - Fax:479-398-8346
Practice Address - Street 1:5212 W VILLAGE PKWY STE 8
Practice Address - Street 2:
Practice Address - City:ROGERS
Practice Address - State:AR
Practice Address - Zip Code:72758-8190
Practice Address - Country:US
Practice Address - Phone:479-324-2671
Practice Address - Fax:479-398-8346
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-29
Last Update Date:2025-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR217659363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health