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

Keith Jackson Jr.

Individual provider Case Manager/Care Coordinator · NPI 1023720422

Keith Jackson Jr. is a Case Manager/Care Coordinator in Columbus, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

874 Studer Ave
Columbus, OH 43206-1633
Phone: (614) 704-3100
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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
Driver Taxonomy 172A00000X · Licence RR895494 (OH)

Record details

NPI number1023720422
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 16, 2022
Last updated in NPPESAugust 15, 2023
Certification dateAugust 15, 2023

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