Jaytoria Wilkins
Individual provider Active NPI Adult Companion · Mendenhall, MS
NPI 1346606191 · NPPES record last updated Jan 9, 2016
Key facts
- NPI
- 1346606191
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Companion 372600000X
- Practice address
- 324 Mangum Ave
Mendenhall, MS 39114-3015 - Phone
- (601) 675-7100
- Fax
- (601) 675-7007
- NPI assigned
- Jan 9, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Patriot Home Care | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chore Provider | 372500000X | |||
| Adult Companion | 372600000X | Yes | ||
| Home Health Aide | 374U00000X | |||
| Homemaker | 376J00000X |
Addresses
Primary practice location
324 Mangum Ave
Mendenhall, MS 39114-3015
Mailing address
324 Mangum Ave
Mendenhall, MS 39114-3015
Phone (601) 675-7100
Other providers in Mendenhall, MS
All providers in Mendenhall, MS · Adult Companion in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 9, 2016. 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.