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EBONY STAR WILSON MHPP
NPI 1063628667
Case Manager/Care Coordinator in Truman, AR

Active since May 14, 2007
1704 HWY 69, TRUMAN, AR 72472(870) 483-4003(870) 483-4009 Get Directions Write a Review

NPPES record last updated: December 28, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ebony Star Wilson Mhpp NPPES

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

EBONY STAR WILSON MHPP (NPI 1063628667) is an individual case manager/care coordinator provider in Truman, Arkansas and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1063628667
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameEBONY STAR WILSONCredential: MHPP
Location Address1704 HWY 69Truman, AR 72472
Mailing Address1815 Pleasant Grove RoadJonesboro, AR 72404 · (870) 933-6886 · Fax (870) 933-9395
Phone(870) 483-4003
Fax(870) 483-4009
Sole ProprietorNo
Enumeration DateMay 14, 2007
Last NPPES UpdateDecember 28, 2015
✔ NPI 1063628667 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.
1704 HWY 69, Truman, AR 72472
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Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATRICIA ELUGBE
Case Manager/Care Coordinator
1704 HWY 69
TRUMANN, AR 72472
Poinsett County (870) 483-4003
AMANDA MAE SALIBA MHPP
Case Manager/Care Coordinator
1704 HWY 69
TRUMANN, AR 72472
Poinsett County (870) 483-4003
MARIE ANN SEARS MHPP
Case Manager/Care Coordinator
1704 HWY 69
TRUMANN, AR 72472
Poinsett County (870) 483-4003
MR. TRAVIS E. WOODRUFF SR. MHPP
Case Manager/Care Coordinator
1704 HWY 69
TRUMANN, AR 72472
Poinsett County (870) 483-4003
ANGEL RUSH
Case Manager/Care Coordinator
1704 HWY 69
TRUMANN, AR 72472
Poinsett County (870) 483-4003
SUSAN MICHELLE SHORT QBHP
Case Manager/Care Coordinator
1704 HWY 69
TRUMANN, AR 72472
Poinsett County (870) 483-4003
BRIDGETTE WILSON
Case Manager/Care Coordinator
1704 HWY 69
TRUMANN, AR 72472
Poinsett County (870) 933-6886
JIMMY A LIVENGOOD MHPP
Case Manager/Care Coordinator
1704 HWY 69
TRUMANN, AR 72472
Poinsett County (870) 483-4003

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 Ebony Wilson's NPI number?

The NPI number for Ebony Wilson is 1063628667. It was assigned to this individual provider in the NPPES registry on May 14, 2007.

Where is Ebony Wilson located?

Ebony Wilson practices at 1704 Hwy 69, Truman, AR 72472. The listed phone number is (870) 483-4003.

What is Ebony 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 Ebony Wilson was last updated on December 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.