Jeremy Brown

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

NPI 1174360002 · NPPES record last updated Jul 9, 2024

Key facts

NPI
1174360002
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
210 Third St
Newport, AR 72112-3302
Phone
(501) 315-3344
NPI assigned
Jul 9, 2024
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)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

210 Third St
Newport, AR 72112-3302

Mailing address

PO Box 1589
Benton, AR 72018-1589
Phone (501) 315-3344

Other providers in Newport, AR

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

Sources for this page

Verify at the official NPI Registry.