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KEONA JACKSON
NPI 1053198036
Case Manager/Care Coordinator in Lake Village, AR

Active since September 12, 2023
1127 SECOND ST, LAKE VILLAGE, AR 71653(870) 265-3808 Get Directions Write a Review

NPPES record last updated: September 12, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Keona Jackson NPPES

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

KEONA JACKSON (NPI 1053198036) is an individual case manager/care coordinator provider in Lake Village, Arkansas and active in the NPI registry since September 2023.

NPPES Registry Identity

NPI1053198036
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameKEONA JACKSON
Location Address1127 SECOND STLake Village, AR 71653-1541
Mailing Address790 Roberts DrMonticello, AR 71655-5723 · (870) 367-2461
Phone(870) 265-3808
Sole ProprietorYes
Enumeration DateSeptember 12, 2023
NPPES CertifiedSeptember 12, 2023
✔ NPI 1053198036 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.
1127 SECOND ST, Lake Village, AR 71653
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Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LUANNE BROWN
Case Manager/Care Coordinator
1127 SECOND ST
LAKE VILLAGE, AR 71653
Chicot County (870) 265-3810
JOHN ISAAC
Case Manager/Care Coordinator
1127 SECOND ST
LAKE VILLAGE, AR 71653
Chicot County (870) 265-3808
LISA COOPER
Case Manager/Care Coordinator
1127 SECOND ST
LAKE VILLAGE, AR 71653
Chicot County (870) 265-3808
LEKASHA MCCLINTON
Case Manager/Care Coordinator
1127 SECOND ST
LAKE VILLAGE, AR 71653
Chicot County (870) 265-3808
COURTNEY BROWN
Case Manager/Care Coordinator
1127 SECOND ST
LAKE VILLAGE, AR 71653
Chicot County (870) 265-3810
JENNIFER CRNKOVIC
Case Manager/Care Coordinator
1127 SECOND ST
LAKE VILLAGE, AR 71653
Chicot County (870) 265-3808
LEAH ARMSTRONG
Case Manager/Care Coordinator
1127 SECOND ST
LAKE VILLAGE, AR 71653
Chicot County (870) 265-3808
MRS. KELLI JEAN FAIRRIS M.S.E., L.P.C
Counselor (Professional)
1127 SECOND ST
LAKE VILLAGE, AR 71653
Chicot County (870) 265-3808

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 Keona Jackson's NPI number?

The NPI number for Keona Jackson is 1053198036. It was assigned to this individual provider in the NPPES registry on September 12, 2023.

Where is Keona Jackson located?

Keona Jackson practices at 1127 Second St, Lake Village, AR 71653. The listed phone number is (870) 265-3808.

What is Keona 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 Keona Jackson was last updated on September 12, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.