Timothy Jackson

Case Manager/Care Coordinator · Bernalillo, NM

Individual Active NPI

NPI number 1073697017

Practice location

872 S Camino Del Pueblo
Bernalillo, NM 87004-5927
Phone
(505) 867-2383
Fax
(505) 867-7293

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NPI record

NPI
1073697017
Entity type
Individual (Type 1)
Enumeration date
October 25, 2006
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Case Manager/Care Coordinator Primary 171M00000X — NM

Mailing address

700 Avanti St SW
Albuquerque, NM 87121-8665
Phone
(505) 565-1619
Fax
(505) 565-1620

About Timothy Jackson

Timothy Jackson is a healthcare provider registered in the NPI registry with the primary taxonomy Case Manager/Care Coordinator (code 171M00000X). The practice location is 872 S Camino Del Pueblo, Bernalillo, NM 87004-5927. The NPI number 1073697017 was assigned on October 25, 2006 and the record was last updated on July 8, 2007.

Frequently asked questions

What is the NPI number of Timothy Jackson?

The NPI number is 1073697017.

What is the phone number of Timothy Jackson?

The phone number listed for the practice location is (505) 867-2383.

Where is Timothy Jackson located?

872 S Camino Del Pueblo, Bernalillo, NM 87004-5927.

What is the taxonomy code for Timothy Jackson?

The primary taxonomy code is 171M00000X – Case Manager/Care Coordinator.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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