What is Wanda Jackson's NPI number?

Wanda Jackson's National Provider Identifier (NPI) is 1780472464, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Wanda Jackson's specialty?

Wanda Jackson is listed in the NPPES registry with a primary specialty of Case Manager/Care Coordinator (Other Service Providers).

Where is Wanda Jackson located?

Wanda Jackson's practice location on file with NPPES is Po Box G, Randolph, VT 05060-0167.

What is Wanda Jackson's phone number?

The practice phone number listed in the NPPES registry for Wanda Jackson is (802) 728-6000.

Is Wanda Jackson's NPI active?

Yes — Wanda Jackson's NPI (1780472464) is active in the NPPES registry as of the last update on 2025-04-30.

IndividualActive

Wanda Jackson, MA

NPI 1780472464 · Case Manager/Care Coordinator · Randolph, VT

Wanda Jackson, MA is a Case Manager/Care Coordinator provider in Randolph, VT (NPI 1780472464).

Provider details

NPI number: 1780472464
Entity type: Individual
Primary specialty: Case Manager/Care CoordinatorOther Service Providers
Credential: MA
Sex: Female
Sole proprietor: No

Specialties & taxonomies

Case Manager/Care CoordinatorPrimary171M00000X
Other Service Providers

Profile Score

Basic profile(48/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
1 yr in NPPES registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

Po Box G

Randolph, VT 05060-0167

Phone: (802) 728-6000

Fax: (802) 728-5655

Approximate (ZIP-level) locationGet directions

More VT providers

Mailing address