MR. Derrick Lorand Jackson
NPI #1760956452 in Independence, Ohio
Provider Information
- NPI Number
- 1760956452
- Entity Type
- Individual
- Name
- MR. Derrick Lorand Jackson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Jan 15, 2019
- Last Updated
- Jan 15, 2019
Practice Location
- Address
- 4401 ROCKSIDE RD STE 401
- City
- Independence
- State
- Ohio
- ZIP Code
- 44131-2147
- Phone
- (216) 532-9776
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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