Provider Demographics
NPI:1962227942
Name:VOGEL, JONALEE (APRN)
Entity type:Individual
Prefix:
First Name:JONALEE
Middle Name:
Last Name:VOGEL
Suffix:
Gender:
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 HIGHWAY 71 NE
Mailing Address - Street 2:
Mailing Address - City:MOUNTAINBURG
Mailing Address - State:AR
Mailing Address - Zip Code:72946-3189
Mailing Address - Country:US
Mailing Address - Phone:479-369-2091
Mailing Address - Fax:
Practice Address - Street 1:4 HIGHWAY 71 NE
Practice Address - Street 2:
Practice Address - City:MOUNTAINBURG
Practice Address - State:AR
Practice Address - Zip Code:72946-3189
Practice Address - Country:US
Practice Address - Phone:479-369-2091
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-15
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK220757363LF0000X
AR230745363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily