ANDREA DURHAM
NPI 1396462552
Case Manager/Care Coordinator in Jackson, MS

Q: What is Andrea Durham's NPI number?

The NPI number for Andrea Durham is 1396462552. It was assigned to this individual provider in the NPPES registry on October 27, 2022.

Q: What is Andrea Durham's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Andrea Durham was last updated on October 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since October 27, 2022

4780 I 55 N STE 105, JACKSON, MS 39211(601) 956-4816(601) 956-4817 Get Directions Write a Review

NPPES record last updated: October 27, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Andrea Durham NPPES

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

ANDREA DURHAM (NPI 1396462552) is an individual case manager/care coordinator provider in Jackson, Mississippi and active in the NPI registry since October 2022.

NPPES Registry Identity

NPI1396462552

Entity TypeIndividualFemale

Primary Taxonomy171M00000X

Provider Legal NameANDREA DURHAM

Location Address4780 I 55 N STE 105Jackson, MS 39211-5542

Mailing Address4780 I 55 N Ste 105Jackson, MS 39211-5542 · (601) 956-4816 · Fax (601) 956-4817

Phone(601) 956-4816

Fax(601) 956-4817

Sole ProprietorNo

Enumeration DateOctober 27, 2022

NPPES CertifiedOctober 27, 2022

✔ NPI 1396462552 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.

4780 I 55 N STE 105, Jackson, MS 39211

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