NPI 1043157860

Andria Willis, BSW

Practitioner Case Manager/Care Coordinator Jackson, MS

Practice location

Address: 3450 Highway 80 W, Jackson, MS 39209-7201
Phone: (769) 257-4562

Registered specialties

Case Manager/Care Coordinator Primary

Other Service Providers Taxonomy 171M00000X

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Registry record

NPI: 1043157860
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Apr 2026
Record last updated: 30 Apr 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.