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

Tiffany Jackson

Individual provider Case Manager/Care Coordinator · NPI 1881555209

Tiffany Jackson is a Case Manager/Care Coordinator in Dayton, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2025
Specialties on file
2

Practice location Address checks out

601 S Edwin C Moses Blvd
Dayton, OH 45417-3424
Phone: (937) 734-8333
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence APS.005097 (OH)
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1881555209
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 24, 2025
Last updated in NPPESNovember 24, 2025
Certification dateNovember 24, 2025
Mailing addressPo Box 932944, Cleveland, OH 44193-0027

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