Doctor Name: | JESSIKA BLAIR LONDON |
NPI Number: | 1285904680 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CM |
License Number: | |
Business Practice Address: | 457 Hannings Ln Martin, TN - 382373307 |
Business Phone Number: | 7315418344 |
Business Fax Number: | 7319358327 |
Mailing Address: | 1804 Highway 45 Byp, Suite 604 JACKSON |
State: | TN |
Postal Code: | 383054436 |
Phone Number: | 7316608781 |
Fax Number: | 7316608739 |
NPI Enumeration Date: | 01/03/2012 |
NPI Last Update Date: | 01/19/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 171M00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Case Manager/Care Coordinator |
Taxonomy Specialization: | |
Taxonomy Definition: | A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee |