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

Mission Family Practice PLLC

Organization Family Medicine Physician · NPI 1982009395

Mission Family Practice PLLC provides Family Medicine Physician services in Fayetteville, Arkansas. Licensed in Arkansas. Registered with an NPI since 2014.

Licensed in
AR
In the registry since
2014
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2744 E Millennium Dr Ste 1
Fayetteville, AR 72703-4710
Phone: (479) 571-6000
Fax: (479) 571-3344
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence C-7247 (AR)

Record details

NPI number1982009395
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Bonner — Physician · (479) 571-6000
Other names Mission Family Practice; Mission Family Practice; Mission Family Practice Pllc
NPI enumeratedOctober 28, 2014
Last updated in NPPESMay 14, 2026
Certification dateMay 14, 2026
Mailing addressPo Box 3678, Fayetteville, AR 72702-3678

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