TIMOTHY JACKSON
Case Manager/Care Coordinator
Active
Individual
NPI: 1073697017
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes | - |
Frequently Asked Questions
NPI 1073697017 is the National Provider Identifier for TIMOTHY JACKSON, a Case Manager/Care Coordinator provider located in Bernalillo, NM. This NPI was enumerated on October 25, 2006.
TIMOTHY JACKSON practices at 872 S CAMINO DEL PUEBLO, Bernalillo, NM 87004.
Quick Facts
- NPI
- 1073697017
- Type
- Individual
- Enumerated
- Oct 25, 2006
- Last Updated
- Jul 8, 2007
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