Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jackson

Organization Case Manager/Care Coordinator · NPI 1376491035

Jackson is a Case Manager/Care Coordinator in Roxbury, Massachusetts. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

56 Warren St Fl 2
Roxbury, MA 02119-3236
Phone: (857) 364-1103
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1376491035
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shynna Jackson — Founder-Director Of Program Operati · (857) 350-6060
NPI enumeratedMarch 18, 2026
Last updated in NPPESMarch 18, 2026
Certification dateMarch 18, 2026
Mailing address56 Warren St Fl 2, Roxbury, MA 02119-3236

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