Jack Phillip Jackson
Jack Phillip Jackson is a Case Manager/Care Coordinator in Long Beach, California. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
2025 E 7th StLong Beach, CA 90804-4590
Phone: (562) 284-0108
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Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X |
|---|
Record details
| NPI number | 1720715592 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | August 2, 2022 |
| Last updated in NPPES | August 2, 2022 |
| Certification date | August 2, 2022 |
| Mailing address | 2025 E 7th St, Long Beach, CA 90804-4590 |
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