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ERICSON DISMUKE
NPI 1689568610
Technician - Personal Care Attendant in Pine Bluff, AR

Active since June 04, 2025
3605 MALLARD DR, PINE BLUFF, AR 71601(870) 301-4312 Get Directions Write a Review

NPPES record last updated: June 4, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ericson Dismuke NPPES

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

ERICSON DISMUKE (NPI 1689568610) is an individual personal care attendant in Pine Bluff, Arkansas and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1689568610
Entity TypeIndividualMale
Primary Taxonomy3747P1801X
Provider Legal NameERICSON DISMUKE
Location Address3605 MALLARD DRPine Bluff, AR 71601-9770
Mailing Address3605 Mallard DrPine Bluff, AR 71601-9770
Phone(870) 301-4312
Sole ProprietorYes
Enumeration DateJune 4, 2025
NPPES CertifiedJune 4, 2025
✔ NPI 1689568610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician · Personal Care AttendantNursing Service Related Providers
Taxonomy Code3747P1801X
Definition
An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards
3605 MALLARD DR, Pine Bluff, AR 71601
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

JANIYA JACKSON
Technician (Personal Care Attendant)
3605 MALLARD DR
PINE BLUFF, AR 71601
Jefferson County (870) 395-3827
NESTOR RICARDO RAMIREZ
Homemaker
3605 MALLARD DR
PINE BLUFF, AR 71601
Jefferson County (870) 209-5279
EUCSIN DISMUKE
Technician (Personal Care Attendant)
3605 MALLARD DR
PINE BLUFF, AR 71601
Jefferson County (870) 540-5488

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 Ericson Dismuke's NPI number?

The NPI number for Ericson Dismuke is 1689568610. It was assigned to this individual provider in the NPPES registry on June 4, 2025.

Where is Ericson Dismuke located?

Ericson Dismuke practices at 3605 Mallard Dr, Pine Bluff, AR 71601. The listed phone number is (870) 301-4312.

What is Ericson Dismuke's specialty?

The primary specialty registered for this NPI is Technician, specializing in Personal Care Attendant, with taxonomy code 3747P1801X.

When was this NPI record last updated?

The NPPES record for Ericson Dismuke was last updated on June 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.