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JEFFERY PRUDE
NPI 1295196533
Case Manager/Care Coordinator in Fayetteville, AR

Active since March 15, 2016
4253 N. CROSSOVER, FAYETTEVILLE, AR 72703(479) 464-5925 Get Directions Write a Review

NPPES record last updated: March 15, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jeffery Prude NPPES

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

JEFFERY PRUDE (NPI 1295196533) is an individual case manager/care coordinator provider in Fayetteville, Arkansas and active in the NPI registry since March 2016.

NPPES Registry Identity

NPI1295196533
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameJEFFERY PRUDE
Location Address4253 N. CROSSOVERFayetteville, AR 72703
Mailing Address4253 N. CrossoverFayetteville, AR 72704 · (479) 464-5925
Phone(479) 464-5925
Sole ProprietorNo
Enumeration DateMarch 15, 2016
✔ NPI 1295196533 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.
4253 N. CROSSOVER, Fayetteville, AR 72703
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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 Jeffery Prude's NPI number?

The NPI number for Jeffery Prude is 1295196533. It was assigned to this individual provider in the NPPES registry on March 15, 2016.

Where is Jeffery Prude located?

Jeffery Prude practices at 4253 N. Crossover, Fayetteville, AR 72703. The listed phone number is (479) 464-5925.

What is Jeffery Prude'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 Jeffery Prude was last updated on March 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.