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

Jean Yvette Wilson

Individual provider Case Manager/Care Coordinator · NPI 1053907600

Jean Yvette Wilson is a Case Manager/Care Coordinator in Douglasville, Georgia. Practices as a sole proprietor. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

3007 Olde Tabby Dr
Douglasville, GA 30135-9222
Phone: (404) 731-0263
Fax: (678) 402-7422
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1053907600
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 17, 2020
Last updated in NPPESDecember 17, 2020
Certification dateDecember 17, 2020
Mailing address3007 Olde Tabby Dr, Douglasville, GA 30135-9222

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