Stacie Mchan Jones
Pediatric Allergist
1 Children's Way # 653
Little Rock
, Arkansas 72202-3510
Stacie Mchan Jones
Pediatric Allergist
1 Children's Way # 653
Little Rock
, Arkansas 72202-3510
(501) 364-1100
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About
Features
Specialties
- Pediatric Allergist
Languages spoken
- English
Location
First Address
- Stacie Mchan Jones
- 1 Children's Way # 653
- Little Rock, AR
- Zip : 72202-3510
- Phone : (501) 364-1100
Second Address
- Stacie Mchan Jones
- 1 Children's Way # 653
- Little Rock, AR
- Zip : 72202-3510
- Phone : (501) 364-1100
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080P0201X | Pediatric Allergist | C-7726 | AR |
National Provider Identifier
| NPI | 1578663456 |
|---|---|
| Provider Name | Stacie Mchan Jones |
| First Address | Little Rock, AR 72202-3510 |
| Second Address | Little Rock, AR 72202-3510 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/09/2006 |
| Last Update Date | 03/03/2009 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 126357001 | (05) | AR |
| F74776 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.