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MR. DAVID DWAYNE JACKSON JR.
NPI 1053024315
Case Manager/Care Coordinator in Bossier City, LA

Active since January 03, 2023
245 PEREGRINE WAY, BOSSIER CITY, LA 71112(318) 422-3993 Get Directions Write a Review

NPPES record last updated: January 3, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. David Dwayne Jackson Jr. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. DAVID DWAYNE JACKSON JR. (NPI 1053024315) is an individual case manager/care coordinator provider in Bossier City, Louisiana and active in the NPI registry since January 2023.

NPPES Registry Identity

NPI1053024315
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameMR. DAVID DWAYNE JACKSON JR.
Location Address245 PEREGRINE WAYBossier City, LA 71112-2556
Mailing Address245 Peregrine WayBossier City, LA 71112-2556
Phone(318) 422-3993
Sole ProprietorYes
Enumeration DateJanuary 3, 2023
NPPES CertifiedJanuary 3, 2023
✔ NPI 1053024315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
245 PEREGRINE WAY, Bossier City, LA 71112
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David Jackson's NPI number?

The NPI number for David Jackson is 1053024315. It was assigned to this individual provider in the NPPES registry on January 3, 2023.

Where is David Jackson located?

David Jackson practices at 245 Peregrine Way, Bossier City, LA 71112. The listed phone number is (318) 422-3993.

What is David Jackson's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for David Jackson was last updated on January 3, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.