Jonathan Griffith

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

NPI 1922425289 · NPPES record last updated Mar 25, 2014

Key facts

NPI
1922425289
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
949 N Main St
Mulberry, AR 72947-8538
Phone
(479) 452-5040
NPI assigned
Mar 25, 2014
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 Yes

Addresses

Primary practice location

949 N Main St
Mulberry, AR 72947-8538

Mailing address

PO Box 23070
Barling, AR 72923-0070
Phone (479) 452-5040

Other providers in Mulberry, AR

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

Sources for this page

Verify at the official NPI Registry.