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

Mr. Glenn Allen Jackson II

Individual provider Case Manager/Care Coordinator · NPI 1134448913

Mr. Glenn Allen Jackson II is a Case Manager/Care Coordinator in Tulsa, Oklahoma. Practices as a sole proprietor. Registered with an NPI since 2010.

In the registry since
2010
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Practice location Address checks out

6736 S Peoria Ave Apt 221
Tulsa, OK 74136-3649
Phone: (918) 402-9235
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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 number1134448913
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 19, 2010
Last updated in NPPESMay 19, 2010

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