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

Mr. Marlin Tyler Jackson, BA

Individual provider Case Manager/Care Coordinator · NPI 1396123667

Mr. Marlin Tyler Jackson, BA is a Case Manager/Care Coordinator in Bentonville, Arkansas. Registered with an NPI since 2015.

In the registry since
2015
What do these letters mean?
BA — Bachelor of Arts
An undergraduate arts degree.

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Practice location Address checks out

2005 SE Walton Blvd
Bentonville, AR 72712
Phone: (479) 464-5925
Fax: (479) 464-4275
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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 number1396123667
Entity typeIndividual (Type 1)
GenderMale
Credentials BA
Sole proprietorNo
NPI enumeratedMay 7, 2015
Last updated in NPPESMay 7, 2015

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