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

Wanda Jackson, MA

Individual provider Case Manager/Care Coordinator · NPI 1780472464

Wanda Jackson, MA is a Case Manager/Care Coordinator in Randolph, Vermont. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location PO Box

The provider listed a PO Box rather than a street location, so this is not a walk-in address.

PO Box G
Randolph, VT 05060-0167
Phone: (802) 728-6000
Fax: (802) 728-5655
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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 number1780472464
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA
Sole proprietorNo
NPI enumeratedApril 30, 2025
Last updated in NPPESApril 30, 2025
Certification dateApril 30, 2025
Mailing addressPo Box G, Randolph, VT 05060-0167

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