Jessica Wilson
Individual provider Active NPI Case Manager/Care Coordinator · Manchester, GA
NPI 1619475480 · NPPES record last updated Jan 26, 2018
Key facts
- NPI
- 1619475480
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 307 5TH St
Manchester, GA 31816-2020 - Phone
- (706) 741-7025
- NPI assigned
- Jan 26, 2018
- Sex
- Female
- Sole proprietor
- Yes
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
307 5TH St
Manchester, GA 31816-2020
Mailing address
307 5TH St
Manchester, GA 31816-2020
Phone (706) 741-7025
Other providers in Manchester, GA
- Thompson Clinic, LLC
- Patricia Ann Tribble
- Walgreen Co
- Elizabeth Williams
- Shalika Chanae Williams
- Robbie Wilson
All providers in Manchester, GA · Case Manager/Care Coordinator in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 26, 2018. 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.