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NPI Code Detail

MEDICARE: JENNIFER MUCKELRATH

MEDICARE:   JENNIFER  MUCKELRATH
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 : 1659203586
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER MUCKELRATH
Provider Business Mailing Address
First Line : 508 N 2ND ST
Second Line :
City : NASHVILLE
State : AR
Zip : 71852-3925
Country : US
Telephone Number : 870-455-0134
Fax Number :
Provider Business Practice Location Address
First Line : 508 N 2ND ST
Second Line :
City : NASHVILLE
State : AR
Zip : 71852-3925
Country : US
Telephone Number : 870-455-0134
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2026
Last Update Date : 06/03/2026

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Directions to “ JENNIFER MUCKELRATH ” Practice Location

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