Destiny Henrickson

Case Manager/Care Coordinator · Clinton, AR

Individual Active NPI

NPI number 1649827007

Practice location

242 Shake Rag Rd
Clinton, AR 72031-6629
Phone
(501) 315-3344

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NPI record

NPI
1649827007
Entity type
Individual (Type 1)
Enumeration date
August 21, 2019
Last updated
August 21, 2019
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Case Manager/Care Coordinator Primary 171M00000X — —

Mailing address

PO Box 1589
Benton, AR 72018-1589
Phone
(501) 315-3344

About Destiny Henrickson

Destiny Henrickson is a healthcare provider registered in the NPI registry with the primary taxonomy Case Manager/Care Coordinator (code 171M00000X). The practice location is 242 Shake Rag Rd, Clinton, AR 72031-6629. The NPI number 1649827007 was assigned on August 21, 2019 and the record was last updated on August 21, 2019.

Frequently asked questions

What is the NPI number of Destiny Henrickson?

The NPI number is 1649827007.

What is the phone number of Destiny Henrickson?

The phone number listed for the practice location is (501) 315-3344.

Where is Destiny Henrickson located?

242 Shake Rag Rd, Clinton, AR 72031-6629.

What is the taxonomy code for Destiny Henrickson?

The primary taxonomy code is 171M00000X – Case Manager/Care Coordinator.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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