Jacob Powell, QBHP
Individual provider Active NPI Case Manager/Care Coordinator · Highland, AR
NPI 1407406192 · NPPES record last updated Sep 16, 2019
Key facts
- NPI
- 1407406192
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 2012 Highway 62 412
Highland, AR 72542-9477 - Phone
- (870) 856-3337
- NPI assigned
- Sep 16, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bokker Enterprises, Inc. | Current |
Accepting new patients |
Locations
2012 Highway 62 412
Highland, AR 72542
Phone (870) 856-1291
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | AR | Yes |
Addresses
Primary practice location
2012 Highway 62 412
Highland, AR 72542-9477
Mailing address
PO Box 176
Cherokee Village, AR 72525-0176
Phone (479) 409-7913
Other providers in Highland, AR
- Carol Ann McCracken
- Almalea B Miller
- Physical Therapy Works, Inc.
- Rain Storm Pillow
- Turner Pirani
- Beverly Michelle Presley
- Regenia M. Price
- Pro-Med of the Jonesboro, Inc
- Kasey Quinn
- Hannah Jean Rikard
All providers in Highland, 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 Sep 16, 2019. 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.