Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Zachary Grant Nethercutt, CHILD/ADULTCIS

Individual provider Case Manager/Care Coordinator · NPI 1063068419

Zachary Grant Nethercutt, CHILD/ADULTCIS is a Case Manager/Care Coordinator in Wynne, Arkansas. Practices as a sole proprietor. Registered with an NPI since 2019.

In the registry since
2019
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Practice location Address checks out

661 Addison Dr
Wynne, AR 72396-1602
Phone: (870) 238-1135
Fax: (870) 238-1139
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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 number1063068419
Entity typeIndividual (Type 1)
GenderMale
Credentials CHILD/ADULTCIS
Sole proprietorYes
NPI enumeratedAugust 12, 2019
Last updated in NPPESAugust 12, 2019

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