Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacob Andesron

Individual provider Case Management Agency · NPI 1528668407

Jacob Andesron is a Case Management Agency in Hudson, Wyoming. Practices as a sole proprietor. Registered with an NPI since 2020.

In the registry since
2020
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Practice location Address checks out

351 Old Highway 177 1/2
Hudson, WY 82515-5094
Phone: (307) 330-8331
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Management Agency (primary) Taxonomy 251B00000X

Record details

NPI number1528668407
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 29, 2020
Last updated in NPPESOctober 29, 2020
Certification dateOctober 29, 2020
Mailing addressPo Box 411, Hudson, WY 82515-0411