Iris Lakeith Golden Griffith
Individual provider Active NPI Case Management Registered Nurse · Mabelvale, AR
NPI 1578093035 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1578093035
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Management Registered Nurse 163WC0400X
- License
- R070895 (AR)
- Practice address
- 8305 Oxford Valley Dr
Mabelvale, AR 72103-2332 - Phone
- (501) 350-9315
- NPI assigned
- Jun 18, 2017
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R070895 | AR | MD | Case Management Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Registered Nurse | 163WC0400X | R070895 | AR | Yes |
Addresses
Primary practice location
8305 Oxford Valley Dr
Mabelvale, AR 72103-2332
Mailing address
8305 Oxford Valley Dr
Mabelvale, AR 72103-2332
Phone (501) 350-9315
Other names
- Mrs. Iris Lockheart
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- Kyle Mark Griffin
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All providers in Mabelvale, AR · Case Management Registered Nurse in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. 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.