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JESSICA JADE CROSS
>> Case Manager/Care Coordinator >> Other Service ProvidersRegistrant NPI Number: 1417168840
Individual Registrant: JESSICA JADE CROSS
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
1658 HWY 371 WEST PRESCOTT, AR 71857 US
Tel: 870-887-3660 Fax: 870-887-3705
Tel: 870-887-3660 Fax: 870-887-3705
Contact information for business:
2904 ARKANSAS BLVD TEXARKANA, AR 71854-2536 US
Tel: 870-773-4655 Fax: 870-772-4650
Tel: 870-773-4655 Fax: 870-772-4650
Registration Information:
NPI: 1417168840
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 171M00000X | Other Service Providers Case Manager/Care Coordinator |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
