MEDICARE: MARSHA JAMES MHPP

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
1	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1134405871
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARSHA JAMES MHPP

Provider Business Mailing Address
First Line	:	2000 S PROMENADE BLVD
Second Line	:
City	:	ROGERS
State	:	AR
Zip	:	72758-9073
Country	:	US
Telephone Number	:	479-408-4197
Fax Number	:	888-977-2956

Provider Business Practice Location Address
First Line	:	2000 S PROMENADE BLVD
Second Line	:
City	:	ROGERS
State	:	AR
Zip	:	72758-9073
Country	:	US
Telephone Number	:	479-408-4197
Fax Number	:	888-977-2956

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/26/2011
Last Update Date	:	09/12/2025

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