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

Jacqueline Blackburn

Individual provider Case Manager/Care Coordinator · NPI 1083324123

Jacqueline Blackburn is a Case Manager/Care Coordinator in Granville, Ohio. Practices as a sole proprietor. Registered with an NPI since 2022.

In the registry since
2022
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Practice location Address checks out

40 Commanche Ct
Granville, OH 43023-9635
Phone: (740) 326-6110
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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 number1083324123
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 30, 2022
Last updated in NPPESNovember 30, 2022
Certification dateNovember 30, 2022
Mailing address400 E State St Ste D, Athens, OH 45701-1870

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