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

Willie Jefferson, MA

Individual provider Case Manager/Care Coordinator · NPI 1689297046

Willie Jefferson, MA is a Case Manager/Care Coordinator in Shreveport, Louisiana. Practices as a sole proprietor. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

1533 Marshall St
Shreveport, LA 71101-3941
Phone: (318) 626-5597
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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 number1689297046
Entity typeIndividual (Type 1)
GenderMale
Credentials MA
Sole proprietorYes
NPI enumeratedMay 20, 2020
Last updated in NPPESApril 1, 2021
Certification dateApril 1, 2021

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