Healthcare Provider Details

I. General information

NPI: 1497679625
Provider Name (Legal Business Name): M STORY TRANSPORT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4519 HIGHWAY 299
BLUFF CITY AR
71722-9005
US

IV. Provider business mailing address

4519 HIGHWAY 299
BLUFF CITY AR
71722-9005
US

V. Phone/Fax

Practice location:
  • Phone: 870-807-4939
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code344600000X
TaxonomyTaxi
License Number
License Number State

VIII. Authorized Official

Name: JAKENA NEWBORN
Title or Position: OWNER
Credential:
Phone: 870-807-4939