Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TYRA WADE
ActiveTYRA WADE is a Case Manager healthcare provider located in JACKSON, Mississippi. NPI 1477735769 is currently active in the NPPES registry. Verify at CMS.
Case Manager · JACKSON, MS
Registration Details
- NPI Number
- 1477735769
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 29, 2007 (18.530408255699 yrs)
- Last Updated
- Mar 10, 2022
Practice Information
- Address
-
4780 I 55 N STE 105JACKSON, MS, 392115542Browse MS providers · Browse ZIP 39211
- Phone
- 6019564816
- Fax
- 6019564817
- Primary Specialty
-
Case Manager
171M00000X
- Additional Specialty
- Case Manager
Other Case Manager Providers in JACKSON, MS
| Name | Credential | NPI |
|---|---|---|
| ELVIOLET BROOKS | — | 1407039811 |
| ERICA FISHER-KADOR | — | 1760875942 |
| MR. LAWRENCE DOUGLAS SAMPSON JR. | — | 1124409412 |
| RONA CORRELL | MCJ | 1164963344 |
| WILLIE SWINNEY JR. | — | 1699208652 |
| DERRICK CAGINS | — | 1326571332 |
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.