Antonio D. Jackson

NPI #1174495717 in Kent, Ohio

Provider Information

NPI Number: 1174495717
Entity Type: Individual
Name: Antonio D. Jackson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Case Manager/Care Coordinator
Enumeration Date: Sep 23, 2025
Last Updated: Sep 23, 2025

Practice Location

Address: 1037 ERIN DR
City: Kent
State: Ohio
ZIP Code: 44240-2029
Phone: (330) 245-8049

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X	Primary

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