KEITH JACKSON JR.

Case Manager/Care Coordinator

Active Individual
NPI: 1023720422

Practice Address

874 STUDER AVE
Columbus, OH 43206

Phone: (614) 704-3100

Specialties

Specialty Code Primary License
Case Manager/Care Coordinator 171M00000X Yes -
Driver 172A00000X No RR895494 (OH)

Frequently Asked Questions

NPI 1023720422 is the National Provider Identifier for KEITH JACKSON JR., a Case Manager/Care Coordinator provider located in Columbus, OH. This NPI was enumerated on December 16, 2022.
KEITH JACKSON JR. practices at 874 STUDER AVE, Columbus, OH 43206.

Quick Facts

NPI
1023720422
Type
Individual
Enumerated
Dec 16, 2022
Last Updated
Aug 15, 2023

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