Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EBONY STAR WILSON, MHPP
ActiveEBONY STAR WILSON, MHPP is a Case Manager healthcare provider located in TRUMAN, Arkansas. NPI 1063628667 is currently active in the NPPES registry. Verify at CMS.
Case Manager · TRUMAN, AR
Registration Details
- NPI Number
- 1063628667
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 14, 2007 (19.271431796069 yrs)
- Last Updated
- Dec 28, 2015
Practice Information
- Address
-
1704 HWY 69TRUMAN, AR, 72472Browse AR providers · Browse ZIP 72472
- Phone
- 8704834003
- Fax
- 8704834009
- Primary Specialty
-
Case Manager
171M00000X
Other Case Manager Providers in TRUMAN, AR
| Name | Credential | NPI |
|---|---|---|
| CHRISTOPHER LEROY NANCE | MHPP | 1992114292 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.