Wilma R Tyus, CM
Individual provider Active NPI Case Manager/Care Coordinator · Jackson, TN
NPI 1881950277 · NPPES record last updated Apr 10, 2012
Key facts
- NPI
- 1881950277
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 32 Conrad Dr
Jackson, TN 38305-2801 - Phone
- (731) 541-8344
- Fax
- (731) 935-8327
- NPI assigned
- Apr 10, 2012
- 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
32 Conrad Dr
Jackson, TN 38305-2801
Mailing address
32 Conrad Dr
Jackson, TN 38305-2801
Phone (731) 541-8344
Other providers in Jackson, TN
- Robert D Turner
- Robert E Turner III
- Lisa S Twyman
- Bryan P Tygart
- Robin Jean Tyler
- Elijah Rhodes Ujcich
- Ultimate Health Clinic North
- Ultimate Health Clinic PC
- David W Underwood
- Union University
All providers in Jackson, TN · Case Manager/Care Coordinator in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 10, 2012. 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.