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

Brandy Antoinette Jackson

Individual provider Case Manager/Care Coordinator · NPI 1063278489

Brandy Antoinette Jackson is a Case Manager/Care Coordinator in Cleveland, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2024

Practice location Address checks out

9250 Miles Park Ave
Cleveland, OH 44105-5166
Phone: (216) 417-0216
Show map & directions

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 number1063278489
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 23, 2024
Last updated in NPPESFebruary 23, 2024
Certification dateFebruary 20, 2024

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