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

Mr. Gerald Howard Funkhouser Jr., CRCCSM

Individual provider Case Manager/Care Coordinator · NPI 1366617821

Mr. Gerald Howard Funkhouser Jr., CRCCSM is a Case Manager/Care Coordinator in Fayetteville, Arkansas. Licensed in Arkansas. Registered with an NPI since 2008.

Licensed in
AR
In the registry since
2008

Practice location Address checks out

1918 N Birch Ave
Fayetteville, AR 72703-2408
Phone: (479) 442-5600
Fax: (479) 442-5192
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 · Licence 908308853 (AR)

Record details

NPI number1366617821
Entity typeIndividual (Type 1)
GenderMale
Credentials CRCCSM
Sole proprietorNo
NPI enumeratedApril 25, 2008
Last updated in NPPESApril 25, 2008

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