Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ellisjah Whaley

Individual provider Case Manager/Care Coordinator · NPI 1861376642

Ellisjah Whaley is a Case Manager/Care Coordinator in Manila, Arkansas. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

920 Medical Dr
Manila, AR 72442-8416
Phone: (870) 570-0358
Fax: (870) 570-0359
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1861376642
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 4, 2025
Last updated in NPPESAugust 4, 2025
Certification dateAugust 4, 2025
Mailing addressPo Box 717, Manila, AR 72442-0717

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