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

Tyler David Jackson

Individual provider Case Manager/Care Coordinator · NPI 1639025000

Tyler David Jackson is a Case Manager/Care Coordinator in Xenia, Ohio. Practices as a sole proprietor. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

303 Kinsey Rd
Xenia, OH 45385-1410
Phone: (937) 718-8279
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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 number1639025000
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 9, 2026
Last updated in NPPESMarch 9, 2026
Certification dateMarch 9, 2026
Mailing address7042 Old Troy Pike, Huber Heights, OH 45424-2747

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