- Practice location
- Po Box G, Randolph, VT 05060-0167
- Phone
- 802-728-6000
- Fax
- 802-728-5655
- Last updated
- April 30, 2025
Wanda Jackson is a Case Manager/Care Coordinator based in Randolph, VT. Wanda Jackson practices in Randolph, VT and has the professional credentials of MA. The NPI Number for Wanda Jackson is 1780472464. The current practice location address for Wanda Jackson is Po Box G, Randolph, VT 05060-0167 and can be reached out via phone at 802-728-6000 and via fax at 802-728-5655.
Provider Profile Details
- NPI Number
- 1780472464
- Provider Name
- Wanda Jackson
- Credential
- MA
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- Po Box G, Randolph, VT 05060-0167
- Phone Number
- 802-728-6000
- Fax Number
- 802-728-5655
- Primary Taxonomy
- Case Manager/Care Coordinator · 171M00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 30, 2025
- Last Update Date
- April 30, 2025
- Certification Date
- April 30, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- Po Box G
Randolph, VT 05060-0167 - City
- Randolph
- State
- Vermont
- Zip
- 05060-0167
- Phone Number
- 802-728-6000
- Fax Number
- 802-728-5655
Provider Business Mailing Address Details
- Address
- Po Box G
Randolph, VT 05060-0167 - City
- Randolph
- State
- VT
- Zip
- 05060-0167
- Phone Number
- 802-728-4466
- Fax Number
- 802-728-4197
License Information
- Taxonomy
- Case Manager/Care Coordinator · 171M00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Case Manager/Care Coordinators near Randolph, VT
View all Case Manager/Care Coordinators in Randolph →- Adria Ciampaglia, MACase Manager/Care Coordinator · NPI 1316734767
- Alexis King, HSDCase Manager/Care Coordinator · NPI 1366322240
- Ann Brandon, MACase Manager/Care Coordinator · NPI 1043006653
- Brian Barnard, BACase Manager/Care Coordinator · NPI 1295521938
- Dylan Fishman, BACase Manager/Care Coordinator · NPI 1952199218
- Elissa Klingensmith, BSCase Manager/Care Coordinator · NPI 1467240796
Frequently Asked Questions
What is the NPI number of Wanda Jackson, MA?
The NPI number of Wanda Jackson, MA is 1780472464. It was assigned on April 30, 2025 and is currently active in the NPPES registry.
What is the specialty of Wanda Jackson, MA?
Wanda Jackson, MA is registered under the primary taxonomy Case Manager/Care Coordinator (code 171M00000X).
Where does Wanda Jackson, MA practice?
The practice location is Po Box G, Randolph, VT 05060-0167. The office can be reached at 802-728-6000 (phone) or 802-728-5655 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1780472464 directly on the NPPES registry website.