Jessica Ryan Holland
Individual provider Active NPI Case Manager/Care Coordinator · Corning, AR
NPI 1124861729 · NPPES record last updated Jun 13, 2024
Key facts
- NPI
- 1124861729
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 602 David St
Corning, AR 72422-7268 - Phone
- (870) 857-3655
- Fax
- (870) 857-3637
- NPI assigned
- Jun 13, 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
602 David St
Corning, AR 72422-7268
Mailing address
2400 S 48TH St
Springdale, AR 72762-6683
Phone (479) 750-2020
Other providers in Corning, AR
- Colton Tyler Hardin
- Jessica Hargett
- Heather Beth Hart
- Samantha Hatley
- Christy E Hibbard
- Kelley Holland
- Cooper Hopkins
- John Housdan
- Austin Lee Huber
- Joshua William Hunt
All providers in Corning, 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 Jun 13, 2024. 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.