Individual
CASS NYKITA ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4451 N WASHINGTON ST, FORREST CITY, AR 72335-7711
(870) 630-3800
(870) 630-3892
Mailing address
2707 BROWNS LN, JONESBORO, AR 72401-7213
(870) 972-4000
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
299949795
—
AR
Enumeration date
04/18/2023
Last updated
02/15/2024
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