OrganizationActive
Northeast Arkansas Pain Medicine
NPI 1235300765 · Interventional Pain Medicine Physician · Jonesboro, AR
Provider details
- NPI number
- 1235300765
- Entity type
- Organization
- Primary specialty
- Interventional Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Monica Formon, Office Manager(870) 972-0411
- License
- E1479 (AR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
505 E Matthews Ave
Suite 103
Jonesboro, AR 72401-3144
Phone: (870) 972-0411
Fax: (870) 933-8011
Approximate (ZIP-level) locationGet directions
Mailing address
505 E Matthews Ave
Jonesboro, AR 72401-3144
Registry dates
- Enumerated
- 2008-03-12
- Last updated
- 2009-12-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.