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

Jaci R Gump

Individual provider Case Manager/Care Coordinator · NPI 1811469638

Jaci R Gump is a Case Manager/Care Coordinator in Mount Vernon, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2018
Specialties on file
3
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Practice location Address checks out

8402 Blackjack Rd
Mount Vernon, OH 43050-9193
Phone: (740) 485-9887
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence CDCA.173829 (OH)
Case Manager/Care Coordinator Taxonomy 171M00000X
Case Manager/Care Coordinator Taxonomy 171M00000X · Licence 1811469638 (OH)

Record details

NPI number1811469638
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 18, 2018
Last updated in NPPESMarch 17, 2025
Certification dateMarch 17, 2025
Mailing address8402 Blackjack Rd, Mount Vernon, OH 43050-9193

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