NPI 1003074675

Venson Moore

Practitioner Case Manager/Care Coordinator Benton, AR

Practice location

Address: 110 Pearson, Benton, AR 72015-4436
Phone: (501) 315-4224
Fax: (501) 778-0450

Registered specialties (3)

Case Manager/Care Coordinator Primary

Other Service Providers Taxonomy 171M00000X

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Mental Health Counselor

Behavioral Health & Social Service Providers Taxonomy 101YM0800X

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Nurse's Aide

Nursing Service Related Providers Taxonomy 376K00000X

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Registry record

NPI: 1003074675
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 May 2008
Record last updated: 13 Nov 2025

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.