Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Northeast Arkansas Pain Medicine

Organization Interventional Pain Medicine Physician · NPI 1235300765

Northeast Arkansas Pain Medicine is an Interventional Pain Medicine Physician in Jonesboro, Arkansas. Licensed in Arkansas. Registered with an NPI since 2008.

Licensed in
AR
In the registry since
2008

Practice location Address checks out

505 E Matthews Ave Ste 103
Jonesboro, AR 72401-3144
Phone: (870) 972-0411
Fax: (870) 933-8011
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Pain Medicine Physician (primary) Taxonomy 208VP0014X · Licence E1479 (AR)

Record details

NPI number1235300765
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Monica Formon — Office Manager · (870) 972-0411
NPI enumeratedMarch 12, 2008
Last updated in NPPESDecember 15, 2009
Mailing address505 E Matthews Ave, Suite 103, Jonesboro, AR 72401-3144

Other providers in Jonesboro