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Ashlan Vanburen

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

NPI number1902748890
StatusActive
Last updated in NPPESApr 8, 2026

Details

NPI
1902748890
Entity type
Individual (NPI-1)
Name
Ashlan Vanburen
Sex
Female
Sole proprietor
No
Enumeration date
Apr 8, 2026
Certification date
Apr 8, 2026
Last updated
Apr 8, 2026

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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