JONESBORO CLINIC
NPI 1619381407
Clinic/Center - Primary Care in Jonesboro, AR

Active since June 19, 2014
1811 EXECUTIVE SQ, JONESBORO, AR 72401(870) 932-6883(870) 972-0719 Get Directions Write a Review

NPPES record last updated: June 19, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jonesboro Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JONESBORO CLINIC (NPI 1619381407) is a healthcare organization registered as a primary care in Jonesboro, Arkansas and active in the NPI registry since June 2014. The organization lists Daniel Bruce Bennett, Director, as its authorized official.

NPPES Registry Identity

NPI1619381407
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameDANIEL BENNETT MD PA
Location Address1811 EXECUTIVE SQJonesboro, AR 72401-6086
Mailing Address1811 Executive SqJonesboro, AR 72401-6086 · (870) 932-6883 · Fax (870) 972-0719
Fax(870) 972-0719
Organization SubpartNo
Authorized OfficialDaniel Bruce BennettDirector · (870) 932-6884
Enumeration DateJune 19, 2014
NPI 1619381407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
1811 EXECUTIVE SQ, Jonesboro, AR 72401

Other Names 1

Doing Business AsJonesboro Clinic

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor (Independent Medical Examiner)
1811 EXECUTIVE SQ
JONESBORO, AR 72401
Counselor (Addiction (Substance Use Disorder))
1811 EXECUTIVE SQ
JONESBORO, AR 72401

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Daniel Bennett MD PA's NPI number?

The NPI number for Daniel Bennett MD PA is 1619381407. It was assigned to this organization in the NPPES registry on June 19, 2014. The provider is doing business as Jonesboro Clinic.

Where is Daniel Bennett MD PA located?

Daniel Bennett MD PA is located at 1811 Executive Sq, Jonesboro, AR 72401. The listed phone number is (870) 932-6883.

What is Daniel Bennett MD PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Daniel Bennett MD PA was last updated on June 19, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.