Chelsea Wilson
Individual provider Active NPI Case Manager/Care Coordinator · Everton, AR
NPI 1275913345 · NPPES record last updated Jun 4, 2015
Key facts
- NPI
- 1275913345
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 2223 MC 5010
Everton, AR 72633 - Phone
- (580) 370-8098
- NPI assigned
- Jun 4, 2015
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
2223 MC 5010
Everton, AR 72633
Mailing address
2223 MC 5010
Everton, AR 72633
Phone (580) 370-8098
Other providers in Everton, AR
All providers in Everton, AR · Case Manager/Care Coordinator in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 4, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.