Doris Tucker
Individual provider Active NPI Case Manager/Care Coordinator · Jonesboro, AR
NPI 1821294737 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1821294737
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 2707 Browns LN
Jonesboro, AR 72401-7213 - Phone
- (870) 972-4939
- Fax
- (870) 972-4911
- NPI assigned
- Jun 26, 2007
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
2707 Browns LN
Jonesboro, AR 72401-7213
Mailing address
2707 Browns LN
Jonesboro, AR 72401-7213
Phone (870) 972-4939
Other providers in Jonesboro, AR
- Tina Tuberville
- Alynda Tucker
- Ashley Nicole Tucker
- Asia Tucker
- Benjamin Tucker
- Drew L Tucker
- Ian David Tucker
- Shelly Tucker
- Temetria Tucker
- Tomekia Tucker
All providers in Jonesboro, 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 Jul 8, 2007. 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.