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JEAN YVETTE WILSON
NPI 1053907600
Case Manager/Care Coordinator in Douglasville, GA

Active since December 17, 2020
3007 OLDE TABBY DR, DOUGLASVILLE, GA 30135(404) 731-0263(678) 402-7422 Get Directions Write a Review

NPPES record last updated: December 17, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jean Yvette Wilson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEAN YVETTE WILSON (NPI 1053907600) is an individual case manager/care coordinator provider in Douglasville, Georgia and active in the NPI registry since December 2020.

NPPES Registry Identity

NPI1053907600
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameJEAN YVETTE WILSON
Location Address3007 OLDE TABBY DRDouglasville, GA 30135-9222
Mailing Address3007 Olde Tabby DrDouglasville, GA 30135-9222 · (404) 731-0263 · Fax (678) 402-7422
Phone(404) 731-0263
Fax(678) 402-7422
Sole ProprietorYes
Enumeration DateDecember 17, 2020
NPPES CertifiedDecember 17, 2020
✔ NPI 1053907600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
3007 OLDE TABBY DR, Douglasville, GA 30135
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jean Wilson's NPI number?

The NPI number for Jean Wilson is 1053907600. It was assigned to this individual provider in the NPPES registry on December 17, 2020.

Where is Jean Wilson located?

Jean Wilson practices at 3007 Olde Tabby Dr, Douglasville, GA 30135. The listed phone number is (404) 731-0263.

What is Jean Wilson's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Jean Wilson was last updated on December 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.