Tyjuan White
Case Manager/Care Coordinator in Conway, AR. Individual provider (NPI-1).
NPI number1629800511
StatusActive
Last updated in NPPESAug 19, 2024
Details
- NPI
- 1629800511
- Entity type
- Individual (NPI-1)
- Name
- Tyjuan White
- Sole proprietor
- No
- Enumeration date
- Aug 19, 2024
- Certification date
- Aug 19, 2024
- Last updated
- Aug 19, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
132 Lower Ridge RdConway, AR 72032-8518
Phone 501-315-3344
Mailing address
Po Box 1589Benton, AR 72018-1589
Phone 501-315-3344
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All 524 Case Manager/Care Coordinator providers in Conway · All 3,490 providers in Conway
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