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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

JACOB FORMBY
NPI 1235050782
Case Manager/Care Coordinator in Nashville, AR

Active since July 22, 2026
508 N 2ND ST, NASHVILLE, AR 71852(870) 455-0134(870) 277-2230 Get Directions Write a Review

NPPES record added: July 22, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jacob Formby NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACOB FORMBY (NPI 1235050782) is an individual case manager/care coordinator provider in Nashville, Arkansas and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1235050782
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameJACOB FORMBY
Location Address508 N 2ND STNashville, AR 71852-3925
Mailing Address508 N 2nd StNashville, AR 71852-3925 · (870) 455-0134 · Fax (870) 277-2230
Phone(870) 455-0134
Fax(870) 277-2230
Sole ProprietorNo
Enumeration DateJuly 22, 2026
NPPES CertifiedJuly 22, 2026
✔ NPI 1235050782 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

508 N 2ND ST, Nashville, AR 71852
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CATHERINE ELLIS
Social Worker
508 N 2ND ST
NASHVILLE, AR 71852
Howard County (870) 455-0134
MORGAN FUNDERBURK
Social Worker
508 N 2ND ST
NASHVILLE, AR 71852
Howard County (870) 455-0134
TELLY WELLS
Case Manager/Care Coordinator
508 N 2ND ST
NASHVILLE, AR 71852
Howard County (870) 455-0134
MIESHA QUARLES
Case Manager/Care Coordinator
508 N 2ND ST
NASHVILLE, AR 71852
Howard County (870) 455-0134
AMANDA WOODLEY
Case Manager/Care Coordinator
508 N 2ND ST
NASHVILLE, AR 71852
Howard County (870) 455-0134
KARA EARNEST
Case Manager/Care Coordinator
508 N 2ND ST
NASHVILLE, AR 71852
Howard County (870) 455-0134
LAKYN CAMP
Case Manager/Care Coordinator
508 N 2ND ST
NASHVILLE, AR 71852
Howard County (870) 455-0134
ANA ALICIA MOSQUEDA-MAYA
Case Manager/Care Coordinator
508 N 2ND ST
NASHVILLE, AR 71852
Howard County (870) 455-0134

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacob Formby's NPI number?

The NPI number for Jacob Formby is 1235050782. It was assigned to this individual provider in the NPPES registry on July 22, 2026.

Where is Jacob Formby located?

Jacob Formby practices at 508 N 2nd St, Nashville, AR 71852. The listed phone number is (870) 455-0134.

What is Jacob Formby's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Jacob Formby was last updated on July 22, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.