Johnathan Daniel Brown, QBHP
Individual provider Active NPI Case Manager/Care Coordinator · Ash Flat, AR
NPI 1043869019 · NPPES record last updated Dec 7, 2021
Key facts
- NPI
- 1043869019
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 75 Hwy 62/412
Suite J
Ash Flat, AR 72513-9629 - Phone
- (870) 994-7060
- Fax
- (870) 994-7063
- NPI assigned
- Sep 11, 2019
- Sex
- Male
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | AR | Yes |
Addresses
Primary practice location
75 Hwy 62/412
Suite J
Ash Flat, AR 72513-9629
Mailing address
1815 Pleasant Grove Road
Jonesboro, AR 72405-7870
Phone (870) 933-6886
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 235720795 | Medicaid | AR |
Other providers in Ash Flat, AR
- Bradley Bibb MD PLLC
- Bradley Bibb, MD PLLC
- Shelby Brazeal
- Lindy Brindley
- Carla Britt
- Julia Brown
- David Bryant
- Casey Bullock
- Sherry Bunch
- Katherine M Burns
All providers in Ash Flat, AR · Case Manager/Care Coordinator in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 7, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.