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NPI Code Detail

MEDICARE: MS. SHA'KEITHA MARKS QBHP

MEDICARE: MS. SHA'KEITHA MARKS QBHP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1043168164
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SHA'KEITHA MARKS QBHP
Provider Business Mailing Address
First Line : 2500 RIKE DR
Second Line :
City : PINE BLUFF
State : AR
Zip : 71603-3937
Country : US
Telephone Number : 870-534-1834
Fax Number : 870-575-1646
Provider Business Practice Location Address
First Line : 2500 RIKE DR
Second Line :
City : PINE BLUFF
State : AR
Zip : 71603-3937
Country : US
Telephone Number : 870-534-1834
Fax Number : 870-575-1646
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/17/2026
Last Update Date : 03/17/2026

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Directions to “ MS. SHA'KEITHA MARKS QBHP” Practice Location

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