T.J. Allen Burrow

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

NPI 1609425669 · NPPES record last updated Sep 11, 2019

Key facts

NPI
1609425669
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
2126 N 1St St Ste F
Jacksonville, AR 72076-2868
Phone
(501) 982-5000
Fax
(501) 982-5007
NPI assigned
Sep 11, 2019
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 AR Yes

Addresses

Primary practice location

2126 N 1St St Ste F
Jacksonville, AR 72076-2868

Mailing address

1815 Pleasant Grove Rd
Jonesboro, AR 72405-7870
Phone (870) 933-6886

Other providers in Jacksonville, AR

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

Sources for this page

Verify at the official NPI Registry.