Travaughn Wilson
Case Manager/Care Coordinator in Jackson, MS. Individual provider (NPI-1).
NPI number1902452154
StatusActive
Last updated in NPPESAug 14, 2019
Details
- NPI
- 1902452154
- Entity type
- Individual (NPI-1)
- Name
- Travaughn Wilson
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 14, 2019
- Last updated
- Aug 14, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
460 Briarwood Dr Ste 510Jackson, MS 39206-3057
Phone 601-956-4816 · Fax 601-956-4817
Mailing address
460 Briarwood Dr Ste 510Jackson, MS 39206-3057
Phone 601-956-4816 · Fax 601-956-4817
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All 185 Case Manager/Care Coordinator providers in Jackson · All 8,702 providers in Jackson
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