Mishelai Ariyan James

Individual provider Active NPI Case Manager/Care Coordinator · Lake Providence, LA

NPI 1699548958 · NPPES record last updated Nov 6, 2023

Key facts

NPI
1699548958
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
1700 Lake St
Lake Providence, LA 71254-5208
Phone
(318) 559-0551
Fax
(318) 559-0538
NPI assigned
Oct 30, 2023
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)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

1700 Lake St
Lake Providence, LA 71254-5208

Mailing address

1700 Lake St
Lake Providence, LA 71254-5208
Phone (318) 559-0551

Other providers in Lake Providence, LA

All providers in Lake Providence, LA · Case Manager/Care Coordinator in Louisiana

Sources for this page

Verify at the official NPI Registry.