Jackson

Case Manager/Care Coordinator · Roxbury, MA

Organization Active NPI

NPI number 1376491035

Practice location

56 Warren St Fl 2
Roxbury, MA 02119-3236
Phone
(857) 364-1103

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NPI record

NPI
1376491035
Entity type
Organization (Type 2)
Enumeration date
March 18, 2026
Last updated
March 18, 2026
Certified
March 18, 2026
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Case Manager/Care Coordinator Primary 171M00000X — —

Authorized official

Name
Shynna Jackson
Title
Founder-Director of Program Operati
Phone
(857) 350-6060

About Jackson

Jackson is a healthcare organization registered in the NPI registry with the primary taxonomy Case Manager/Care Coordinator (code 171M00000X). The practice location is 56 Warren St Fl 2, Roxbury, MA 02119-3236. The NPI number 1376491035 was assigned on March 18, 2026 and the record was last updated on March 18, 2026.

The authorized official for this organization is Shynna Jackson, Founder-Director of Program Operati.

Frequently asked questions

What is the NPI number of Jackson?

The NPI number is 1376491035.

What is the phone number of Jackson?

The phone number listed for the practice location is (857) 364-1103.

Where is Jackson located?

56 Warren St Fl 2, Roxbury, MA 02119-3236.

What is the taxonomy code for 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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