NPI 1003072158
James Mitchell Fortner, MHPP
Practice location
- Address
- 525 Wisteria Dr, North Little Rock, AR 72118-3567
- Phone
- (501) 594-5200
- Fax
- (501) 594-5244
- Mailing address
- PO Box 180, Paron, AR 72122-0180
Registered specialties
Case Manager/Care Coordinator
Primary
Registry record
- NPI
- 1003072158
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 29 Jul 2008
- Record last updated
- 29 Jul 2008
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.