Ladonna Shae Copeland

Individual provider Active NPI Case Manager/Care Coordinator · Fort Smith, AR

NPI 1043060445 · NPPES record last updated Mar 26, 2024

Key facts

NPI
1043060445
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
3113 S 70TH St
Fort Smith, AR 72903-5017
Phone
(479) 478-6664
Fax
(479) 452-5847
NPI assigned
Mar 26, 2024
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X AR Yes

Addresses

Primary practice location

3113 S 70TH St
Fort Smith, AR 72903-5017

Mailing address

PO Box 11818
Fort Smith, AR 72917-1818
Phone (479) 452-6650

Other practice location 1

3111 S 70th St
Fort Smith, AR 72903-5017
Phone (479) 452-6650

Other providers in Fort Smith, AR

All providers in Fort Smith, AR · Case Manager/Care Coordinator in Arkansas

Sources for this page

Verify at the official NPI Registry.