MEDICARE: IMAANI WILSON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1780428169
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	IMAANI WILSON

Provider Business Mailing Address
First Line	:	1676 FRANKLIN AVE
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43205-2169
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1676 FRANKLIN AVE
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43205-2169
Country	:	US
Telephone Number	:	614-965-0150
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/21/2024
Last Update Date	:	06/21/2024

Similar Medicare Providers

1326586165 — MOLLIE HAYES
Practice Location Address:

3173 BOWDOIN CIR
COLUMBUS, OH
43204-2169

Practice Phone: 614-254-9601
Practice Fax:

1912620931 — MICHELE ABANG
Practice Location Address:

2169 YORKHULL LN
COLUMBUS, OH
43229-3954

Practice Phone: 614-636-8548
Practice Fax:

1881062073 — PRIYA GANDHI PNP
Practice Location Address:

700 CHILDRENS DR
COLUMBUS, OH
43205-2664

Practice Phone: 614-722-2000
Practice Fax:

1871961060 — MEAGAN KANE MS, RN, CPNP-PC
Practice Location Address:

700 CHILDRENS DR
COLUMBUS, OH
43205-2664

Practice Phone: 614-722-2000
Practice Fax:

1801222013 — ALEXANDRA GAIL BROUSSARD PRICE CPNP-PC
Practice Location Address:

700 CHILDRENS DR
COLUMBUS, OH
43205

Practice Phone: 614-722-2000
Practice Fax:

1457092330 — EMMA GRACE SCHOEPF
Practice Location Address:

700 CHILDRENS DR
COLUMBUS, OH
43205-2664

Practice Phone: 614-722-0000
Practice Fax:

Directions to “ IMAANI WILSON ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.