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

Samuel Muhammad Jackson

Individual provider Case Manager/Care Coordinator · NPI 1396675039

Samuel Muhammad Jackson is a Case Manager/Care Coordinator in Vermilion, Ohio. Practices as a sole proprietor. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

4680 Liberty Ave
Vermilion, OH 44089-3243
Phone: (330) 947-6012
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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 number1396675039
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 22, 2026
Last updated in NPPESMay 22, 2026
Certification dateMay 22, 2026
Mailing address4680 Liberty Ave, Vermilion, OH 44089-3243

Other providers in Vermilion