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Deana Grisham, LPN

Case Manager/Care Coordinator in Jacksonville, AR. Individual provider (NPI-1).

NPI number1881925782
StatusActive
Last updated in NPPESJan 18, 2010

Details

NPI
1881925782
Entity type
Individual (NPI-1)
Name
Deana Grisham
Credential
LPN
Sex
Female
Sole proprietor
No
Enumeration date
Jan 18, 2010
Last updated
Jan 18, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes

Practice location

15 Crestview Plz
Jacksonville, AR 72076-4341

Phone 501-982-5000 · Fax 501-982-5007

Mailing address

4508 Stadium Blvd
Jonesboro, AR 72404-9675

Phone 870-933-6886 · Fax 870-933-9395

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