JAMES WILSON NPI 1063577682

NPI Information

  • NPI: 1063577682
  • Provider Name: JAMES WILSON
  • Classification: Technician - 3747P1801X
  • Specialization: Personal Care Attendant
  • Entity Type: Individual
  • Address: 1679 HIGHWAY 243 SOUTH
    MARIANNA, AR
    ZIP 72360
  • Phone: (870) 295-3557

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NPI Details

James Wilson is a personal care attendant technician in Marianna, AR. The provider is an individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards James Wilson NPI is 1063577682. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1679 HIGHWAY 243 SOUTH
MARIANNA, AR
ZIP 72360
Phone: (870) 295-3557
Fax: (870) 295-3686

The enumeration date for this NPI number is 12/26/2006 and was last updated on 12/27/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13747P1801XTechnicianPersonal Care Attendant32903ARKANSASYes
2177F00000XLodging101ARKANSASNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1121812732MEDICAIDARKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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