Kristinia Pratt, MHPP, RN
Individual provider Active NPI Case Management Registered Nurse · Tuckerman, AR
NPI 1689928558 · NPPES record last updated Oct 31, 2012
Key facts
- NPI
- 1689928558
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Management Registered Nurse 163WC0400X
- License
- R087658 (AR)
- Practice address
- 102 Elm Street
Tuckerman, AR 72473 - Phone
- (870) 349-1313
- Fax
- (870) 349-1311
- NPI assigned
- Oct 31, 2012
- 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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R087658 | AR | MD | Case Management Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Registered Nurse | 163WC0400X | R087658 | AR | Yes |
Addresses
Primary practice location
102 Elm Street
Tuckerman, AR 72473
Mailing address
102 Elm Street
Tuckerman, AR 72473
Phone (870) 349-1313
Other providers in Tuckerman, AR
- Kidspot Jackson County Inc
- Kidspot Jackson County Inc
- Monica Scherrell Lowery
- Carla Mitchell
- Stacy Moore
- Kelsie Riedy
- Adam Garrett Tedford
- Tuckerman Volunteer Ambulance Service
- Megan Vincent
- Dayton Xavier Watson
All providers in Tuckerman, 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 Oct 31, 2012. 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.