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

Jackson Blough

Individual provider Case Manager/Care Coordinator · NPI 1023903119

Jackson Blough is a Case Manager/Care Coordinator in Benton Harbor, Michigan. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

1613 M 139
Benton Harbor, MI 49022-5748
Phone: (269) 925-0585
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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 number1023903119
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 10, 2025
Last updated in NPPESJune 10, 2025
Certification dateJune 10, 2025
Mailing address348 Marina Dr, Saint Joseph, MI 49085-1045

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