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

Clarence A Jackson

Individual provider Case Manager/Care Coordinator · NPI 1104304450

Clarence A Jackson is a Case Manager/Care Coordinator in Youngstown, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2018

Practice location Address checks out

8440 Market St
Youngstown, OH 44512-6703
Phone: (330) 965-9999
Fax: (330) 757-0000
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 · Licence 0000000 (OH)

Record details

NPI number1104304450
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 30, 2018
Last updated in NPPESJuly 30, 2018
Mailing address8440 Market St, Youngstown, OH 44512-6703

Other providers in Youngstown