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

Antonio D. Jackson

Individual provider Case Manager/Care Coordinator · NPI 1174495717

Antonio D. Jackson is a Case Manager/Care Coordinator in Kent, Ohio. Licensed in Ohio. Registered with an NPI since 2025.

Licensed in
OH
In the registry since
2025

Practice location Address checks out

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

Record details

NPI number1174495717
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 23, 2025
Last updated in NPPESSeptember 23, 2025
Certification dateSeptember 23, 2025
Mailing address1037 Erin Dr, Kent, OH 44240-2029

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