Jon Nicholas Tanner in Fordyce - Case Manager/care Coordinator
Jon Nicholas Tanner - NPI 1881724805
Jon Nicholas Tanner is a Case Manager/care Coordinator in Fordyce, Arkansas. Jon Nicholas Tanner practices all healthcare services and medical treatments related to Case Manager/care Coordinator. The NPI Number for Jon Nicholas Tanner is 1881724805. The last update date is 2007-07-08.
Jon Nicholas Tanner's current location address is 1101 W 3rd St, Fordyce, Arkansas. You can contact this provider via phone number 8703525122 and fax number 8703525127. The mailing address for Jon Nicholas Tanner is 1101 W 3rd St, Fordyce, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jon Nicholas Tanner |
|---|---|
| Address | 1101 W 3rd St, Fordyce, Arkansas |
| Phone Number | 8703525122 |
| Fax Number | 8703525127 |
| Sole Proprietor | Y |
| Credentials | MHPP |
NPI Number Detail
| NPI Number | 1881724805 |
|---|---|
| Provider Enumeration Date | 2007-03-07 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1101 W 3rd St |
|---|---|
| City | Fordyce |
| State | Arkansas (AR) |
| Post Code | 717423014 |
| Phone Number | 8703525122 |
| Fax Number | 8703525127 |
Provider's Primary Taxonomy Detail
| Speciality | Case Manager/care Coordinator |
|---|---|
| Taxonomy | 171M00000X |
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Definition: A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a pe |
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What is the unique 10-digit identifier code issued to Jon Nicholas Tanner by the Centers for Medicare & Medicaid Services?
The Jon Nicholas Tanner has been assigned the NPI (National Provider Identifier) 1881724805 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Jon Nicholas Tanner?
The Jon Nicholas Tanner is situated at 1101 W 3Rd St, in the city of Fordyce, state of AR, with the zip code 717423014.
What is Jon Nicholas Tanner's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jon Nicholas Tanner's specialized field of practice is Case Manager/care Coordinator, and the corresponding taxonomy code that categorizes this area of specialization is 171M00000X.
On what date did the Jon Nicholas Tanner receive its 1881724805 assignment from the Centers for Medicare & Medicaid Services?
The Jon Nicholas Tanner was assigned its 1881724805 by the Centers for Medicare & Medicaid Services on 2007-03-07.
As of what date were the details pertaining to Jon Nicholas Tanner last refreshed?
The information related to the Jon Nicholas Tanner, including its address, specialty, and other relevant details, was last updated on 2007-07-08.