Individual ProviderJessica MckinnieCase Manager/Care CoordinatorOther Service ProvidersPractice Address1310 E Rose St, Blytheville, AR 72315-3726(870) 281-5628PECOS EnrollmentBased on the most recent information from CMS, provider Jessica Mckinnie does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1669893657Provider TypeIndividualFull NameMckinnie, JessicaGenderFemaleSole ProprietorYesEnumeration Date12/18/2013Last Updated12/18/2013Contact InformationPractice LocationPractice Address1310 E Rose St, Blytheville, AR 72315-3726Phone(870) 281-5628FaxUnlisted FaxMailing LocationMailing Address1310 E Rose St, Blytheville, AR 72315-3726Phone(870) 281-5628FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted Issuer