Jackson
Case Manager/Care Coordinator in Roxbury, Massachusetts
1376491035- Practice location
- 56 Warren St Fl 2, Roxbury, MA 02119-3236
- Phone
- 857-364-1103
- Fax
- —
- Last updated
- March 18, 2026
Jackson is a healthcare organization based in Roxbury, MA. Jackson practices in Roxbury, MA. The NPI Number for Jackson is 1376491035. The current practice location address for Jackson is 56 Warren St Fl 2, Roxbury, MA 02119-3236 and can be reached out via phone at 857-364-1103.
Provider Profile Details
- NPI Number
- 1376491035
- Provider Name
- Jackson
- Provider Entity Type
- Organization
- Address
- 56 Warren St Fl 2, Roxbury, MA 02119-3236
- Phone Number
- 857-364-1103
- Primary Taxonomy
- Case Manager/Care Coordinator · 171M00000X
- Organization Subpart
- No
- Authorized Official
- Shynna Jackson · Founder-Director Of Program Operati · 857-350-6060
- Provider Enumeration Date
- March 18, 2026
- Last Update Date
- March 18, 2026
- Certification Date
- March 18, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 56 Warren St Fl 2
Roxbury, MA 02119-3236 - City
- Roxbury
- State
- Massachusetts
- Zip
- 02119-3236
- Phone Number
- 857-364-1103
Provider Business Mailing Address Details
- Address
- 56 Warren St Fl 2
Roxbury, MA 02119-3236 - City
- Roxbury
- State
- MA
- Zip
- 02119-3236
- Phone Number
- 857-364-1103
License Information
- Taxonomy
- Case Manager/Care Coordinator · 171M00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Case Manager/Care Coordinators near Roxbury, MA
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Frequently Asked Questions
What is the NPI number of Jackson?
The NPI number of Jackson is 1376491035. It was assigned on March 18, 2026 and is currently active in the NPPES registry.
What is the specialty of Jackson?
Jackson is registered under the primary taxonomy Case Manager/Care Coordinator (code 171M00000X).
Where does Jackson practice?
The practice location is 56 Warren St Fl 2, Roxbury, MA 02119-3236. The office can be reached at 857-364-1103 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1376491035 directly on the NPPES registry website.