Jeanetta Childress
Individual provider Active NPI Case Manager/Care Coordinator · Brownsville, KY
NPI 1841018256 · NPPES record last updated Oct 3, 2024
Key facts
- NPI
- 1841018256
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 205 Mohawk St
Brownsville, KY 42210-8556 - Phone
- (270) 901-5000
- NPI assigned
- Oct 3, 2024
- Sex
- Female
- 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 |
|---|---|---|---|
| Lifeskills, Inc. | Current |
Accepting new patients |
Locations
380 Suwannee Trail St
Bowling Green, KY 42103
205 Mohawk St
Brownsville, KY 42210
Phone (270) 597-2713
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
205 Mohawk St
Brownsville, KY 42210-8556
Mailing address
380 Suwannee Trail St
Bowling Green, KY 42103-7956
Phone (270) 901-5000
Other providers in Brownsville, KY
- Barren River District Health Department
- Body and Mind Healthcare PLLC
- Cierrra Nicole Bowers
- Brittany Lynn Bryant
- Jennifer A Camas
- Daniel Cooke
- Melvin R. Croley
- Paula Dupree
- Edmonson County Ambulance District
- Edmonson County Board of Education
All providers in Brownsville, KY · Case Manager/Care Coordinator in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 3, 2024. 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.