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NPI Code Detail

MEDICARE: JENNIFER COX

MEDICARE: JENNIFER COX
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
1101Y00000XCounselor
2320800000XMental Illness Community Based Residential Treatment Facility

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1679992788
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER COX
Provider Business Mailing Address
First Line : 2200 S WALDRON RD STE B
Second Line :
City : FORT SMITH
State : AR
Zip : 72903-3700
Country : US
Telephone Number : 479-242-7111
Fax Number : 479-242-2033
Provider Business Practice Location Address
First Line : 2200 S WALDRON RD STE B
Second Line :
City : FORT SMITH
State : AR
Zip : 72903-3700
Country : US
Telephone Number : 479-242-7111
Fax Number : 479-242-2033
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/16/2014
Last Update Date : 05/26/2026

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Directions to “ JENNIFER COX ” Practice Location

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