Autumn D Ball

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

NPI 1104337013 · NPPES record last updated Oct 18, 2017

Key facts

NPI
1104337013
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
2040 Fitzhugh St
Batesville, AR 72501-7409
Phone
(870) 793-3334
NPI assigned
Oct 18, 2017
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 Yes

Addresses

Primary practice location

2040 Fitzhugh St
Batesville, AR 72501-7409

Mailing address

3012 Turman Dr
Jonesboro, AR 72404-8998
Phone (870) 819-0200

Other providers in Batesville, AR

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

Sources for this page

Verify at the official NPI Registry.