Jenny R Graves

Individual provider Active NPI Case Manager/Care Coordinator · Little Rock, AR

NPI 1083748610 · NPPES record last updated Sep 24, 2020

Key facts

NPI
1083748610
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
20400 Colonel Glenn Rd
Little Rock, AR 72210-5323
Phone
(501) 821-5500
NPI assigned
Mar 15, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Centers for Youth and Families Past Accepting new patients

Specialties & licenses

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

Addresses

Primary practice location

20400 Colonel Glenn Rd
Little Rock, AR 72210-5323

Mailing address

PO Box 251970
Little Rock, AR 72225-1970
Phone (501) 666-8686

Other practice location 1

6425 W 12th St
Little Rock, AR 72204-1509
Phone (501) 666-8686

Other names

  • Jenny R Alston Other name

Other providers in Little Rock, AR

All providers in Little Rock, AR · Case Manager/Care Coordinator in Arkansas

Sources for this page

Verify at the official NPI Registry.