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

Jack P Smith

Individual provider Case Manager/Care Coordinator · NPI 1366214264

Jack P Smith is a Case Manager/Care Coordinator in Columbus, Ohio. Practices as a sole proprietor. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

2830 Avati Dr
Columbus, OH 43207-3595
Phone: (614) 852-9764
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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 number1366214264
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 24, 2023
Last updated in NPPESOctober 24, 2023
Certification dateOctober 24, 2023
Mailing address2830 Avati Dr, Columbus, OH 43207-3595

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