Angela Nichols, MHPP
Case Manager/Care Coordinator in Clinton, AR. Individual provider (NPI-1).
NPI number1407214448
StatusActive
Last updated in NPPESFeb 5, 2016
Details
- NPI
- 1407214448
- Entity type
- Individual (NPI-1)
- Name
- Angela Nichols
- Credential
- MHPP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 5, 2016
- Last updated
- Feb 5, 2016
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
1303 Highway 65 SClinton, AR 72031-6706
Phone 501-745-4448 · Fax 501-748-8826
Mailing address
1303 Highway 65 SClinton, AR 72031-6706
Phone 501-745-4448 · Fax 501-748-8826
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 153 Case Manager/Care Coordinator providers in Clinton · All 321 providers in Clinton
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