Tyra Wade in Jackson - Case Manager/care Coordinator
Tyra Wade - NPI 1477735769
Tyra Wade is a Case Manager/care Coordinator in Jackson, Mississippi. Tyra Wade practices all healthcare services and medical treatments related to Case Manager/care Coordinator. The NPI Number for Tyra Wade is 1477735769. The last update date is 2022-03-10.
Tyra Wade's current location address is 4780 I 55 N Ste 105, Jackson, Mississippi. You can contact this provider via phone number 6019564816 and fax number 6019564817. The mailing address for Tyra Wade is 4780 I 55 N Ste 105, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tyra Wade |
|---|---|
| Address | 4780 I 55 N Ste 105, Jackson, Mississippi |
| Phone Number | 6019564816 |
| Fax Number | 6019564817 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1477735769 |
|---|---|
| Provider Enumeration Date | 2007-11-29 |
| Last Updated Date | 2022-03-10 |
Provider Mailing Address Detail
| Address | 4780 I 55 N Ste 105 |
|---|---|
| City | Jackson |
| State | Mississippi (MS) |
| Post Code | 392115542 |
| Phone Number | 6019564816 |
| Fax Number | 6019564817 |
Provider's Primary Taxonomy Detail
| Speciality | Case Manager/care Coordinator |
|---|---|
| Taxonomy | 171M00000X |
|
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 pe |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1670076 | MS | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Tyra Wade by the Centers for Medicare & Medicaid Services?
The Tyra Wade has been assigned the NPI (National Provider Identifier) 1477735769 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Tyra Wade is physically located?
The Tyra Wade is situated at the following address: 4780 I 55 N Ste 105, Jackson, MS 392115542.
What is the area of specialization for Tyra Wade, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Tyra Wade is Case Manager/care Coordinator, and the corresponding taxonomy code that categorizes this area of expertise is 171M00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1477735769 to Tyra Wade?
The Centers for Medicare & Medicaid Services originally issued the 1477735769 to Tyra Wade on 2007-11-29.
When was the information related to Tyra Wade most recently updated or refreshed?
The details pertaining to the Tyra Wade, including its address, specialty, and other relevant information, were last updated or refreshed on 2022-03-10.
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