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

Jackson Russel Granato

Individual provider Case Manager/Care Coordinator · NPI 1265115828

Jackson Russel Granato is a Case Manager/Care Coordinator in Louisville, Kentucky. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

368 Crescent Spring Dr
Louisville, KY 40206-2890
Phone: (913) 653-2289
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

Record details

NPI number1265115828
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 10, 2023
Last updated in NPPESFebruary 6, 2024
Certification dateFebruary 6, 2024

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