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

Mr. David Dwayne Jackson Jr.

Individual provider Case Manager/Care Coordinator · NPI 1053024315

Mr. David Dwayne Jackson Jr. is a Case Manager/Care Coordinator in Bossier City, Louisiana. Practices as a sole proprietor. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

245 Peregrine Way
Bossier City, LA 71112-2556
Phone: (318) 422-3993
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 number1053024315
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 3, 2023
Last updated in NPPESJanuary 3, 2023
Certification dateJanuary 3, 2023

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