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Jesseca Bass

Case Manager/Care Coordinator in Jackson, MS. Individual provider (NPI-1).

NPI number1780395673
StatusActive
Last updated in NPPESDec 12, 2022

Details

NPI
1780395673
Entity type
Individual (NPI-1)
Name
Jesseca Bass
Sex
Female
Sole proprietor
No
Enumeration date
Dec 12, 2022
Certification date
Dec 12, 2022
Last updated
Dec 12, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes

Practice location

4780 I 55 N Ste 105
Jackson, MS 39211-5542

Phone 601-956-4816 · Fax 601-956-4817

Mailing address

4780 I 55 N Ste 105
Jackson, MS 39211-5542

Phone 601-956-4816 · Fax 601-956-4817

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