Antonio D. Jackson

Case Manager/Care Coordinator · Kent, OH

Individual Active NPI

NPI number 1174495717

Practice location

1037 Erin Dr
Kent, OH 44240-2029
Phone
(330) 245-8049

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NPI record

NPI
1174495717
Entity type
Individual (Type 1)
Enumeration date
September 23, 2025
Last updated
September 23, 2025
Certified
September 23, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Case Manager/Care Coordinator Primary 171M00000X — OH

About Antonio Jackson

Antonio D. Jackson is a healthcare provider registered in the NPI registry with the primary taxonomy Case Manager/Care Coordinator (code 171M00000X). The practice location is 1037 Erin Dr, Kent, OH 44240-2029. The NPI number 1174495717 was assigned on September 23, 2025 and the record was last updated on September 23, 2025.

Frequently asked questions

What is the NPI number of Antonio D. Jackson?

The NPI number is 1174495717.

What is the phone number of Antonio Jackson?

The phone number listed for the practice location is (330) 245-8049.

Where is Antonio Jackson located?

1037 Erin Dr, Kent, OH 44240-2029.

What is the taxonomy code for Antonio 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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