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

Ivelisse Pennington, MHPP

Individual provider Case Manager/Care Coordinator · NPI 1679817670

Ivelisse Pennington, MHPP is a Case Manager/Care Coordinator in Fayetteville, Arkansas. Registered with an NPI since 2012.

In the registry since
2012

Practice location Address checks out

4253 N Crossover Rd
Fayetteville, AR 72703-4593
Phone: (479) 521-5731
Fax: (479) 443-2519
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 number1679817670
Entity typeIndividual (Type 1)
GenderFemale
Credentials MHPP
Sole proprietorNo
NPI enumeratedNovember 15, 2012
Last updated in NPPESNovember 15, 2012

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