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

Mr. Michael L Jackson, BA

Individual provider Case Manager/Care Coordinator · NPI 1639812670

Mr. Michael L Jackson, BA is a Case Manager/Care Coordinator in Lexington, Kentucky. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
BA — Bachelor of Arts
An undergraduate arts degree.

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Practice location Address checks out

1353 W Main St Ste 100
Lexington, KY 40508-2065
Phone: (859) 245-2400
Fax: (859) 245-2443
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Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1639812670
Entity typeIndividual (Type 1)
GenderMale
Credentials BA
Sole proprietorNo
NPI enumeratedApril 18, 2022
Last updated in NPPESApril 18, 2022
Certification dateApril 18, 2022
Mailing address1353 W Main St Ste 100, Lexington, KY 40508-2065

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