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

Kacie Lee Jackson

Individual provider Case Manager/Care Coordinator · NPI 1548742224

Kacie Lee Jackson is a Case Manager/Care Coordinator in Enid, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.

Licensed in
OK
In the registry since
2018

Practice location Address checks out

312 N Van Buren St
Enid, OK 73703-4500
Phone: (888) 573-7792
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 (OK)

Record details

NPI number1548742224
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 30, 2018
Last updated in NPPESAugust 30, 2018
Mailing address115 E Dogwood Dr, Pond Creek, OK 73766-9788

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