Individual
JIMMEKA BLAKEMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
621 E NORTH ST, MAGNOLIA, AR 71753-3120
(870) 234-0739
Mailing address
1600 ALDERSGATE RD STE 200, LITTLE ROCK, AR 72205-6676
(501) 906-4237
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/26/2024
Last updated
06/26/2024
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