Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. LISA WILSON- JEFFERSON
Active Sole ProprietorIn Home Supportive Care Agency · LITHONIA, GA
Registration Details
- NPI Number
- 1497124291
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 22, 2015 (10.581306231974 yrs)
- Last Updated
- Jun 11, 2019
- Sole Proprietor
- Yes
Practice Information
- Address
-
3854 PAPER BIRCH LNLITHONIA, GA, 300383342Browse GA providers · Browse ZIP 30038
- Phone
- 6784805054
- Fax
- 8888846471
- Primary Specialty
-
In Home Supportive Care Agency
253Z00000X
- Additional Specialty
- Bus
- Additional Specialty
- 385HR2065X
- Additional Specialty
- In Home Supportive Care Agency
Other In Home Supportive Care Agency Providers in LITHONIA, GA
| Name | Credential | NPI |
|---|---|---|
| MARICA RUDOLPH | — | 1386236610 |
| TRENA L BURNETT | — | 1487249116 |
| NICOLE TERRELL | — | 1457016396 |
| SHAWANDA BIGBY | — | 1336844554 |
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.