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HENDERSON JACKSON JR.
NPI 1144647595
Case Manager/Care Coordinator in Farmington, NM

Active since March 24, 2014
807 W APACHE ST, FARMINGTON, NM 87401(505) 325-5358(505) 327-1482 Get Directions Write a Review

NPPES record last updated: March 24, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Henderson Jackson Jr. NPPES

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

HENDERSON JACKSON JR. (NPI 1144647595) is an individual case manager/care coordinator provider in Farmington, New Mexico and active in the NPI registry since March 2014.

NPPES Registry Identity

NPI1144647595
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameHENDERSON JACKSON JR.
Location Address807 W APACHE STFarmington, NM 87401-5527
Mailing Address807 W Apache StFarmington, NM 87401-5527 · (505) 325-5358 · Fax (505) 327-1482
Phone(505) 325-5358
Fax(505) 327-1482
Sole ProprietorNo
Enumeration DateMarch 24, 2014
✔ NPI 1144647595 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.
807 W APACHE ST, Farmington, NM 87401
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Other Names 1

Other Name (5)Junior Jackson

Other Providers at the Same Location NPPES 20

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

ANTHONY C ASKEW
Case Manager/Care Coordinator
807 W APACHE ST
FARMINGTON, NM 87401
San Juan County (505) 325-5358
LINDSEY L SORENSEN
Case Manager/Care Coordinator
807 W APACHE ST
FARMINGTON, NM 87401
San Juan County (505) 325-5358
KAYLA BEGAY
Case Manager/Care Coordinator
807 W APACHE ST
FARMINGTON, NM 87401
San Juan County (505) 592-0623
KATRINA CAMPBELL
Social Worker
807 W APACHE ST
FARMINGTON, NM 87401
San Juan County (505) 325-5358
BONNIE S STEWART
Case Manager/Care Coordinator
807 W APACHE ST
FARMINGTON, NM 87401
San Juan County (505) 325-5358
DANA NEZ
Case Manager/Care Coordinator
807 W APACHE ST
FARMINGTON, NM 87401
San Juan County (505) 325-5358
TERRILENE ESSON
Case Manager/Care Coordinator
807 W APACHE ST
FARMINGTON, NM 87401
San Juan County (505) 325-5358
CARMENLITA P PHILLIPS
Case Manager/Care Coordinator
807 W APACHE ST
FARMINGTON, NM 87401
San Juan County (505) 325-5358

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 Henderson Jackson's NPI number?

The NPI number for Henderson Jackson is 1144647595. It was assigned to this individual provider in the NPPES registry on March 24, 2014. The provider is also known as Junior Jackson.

Where is Henderson Jackson located?

Henderson Jackson practices at 807 W Apache St, Farmington, NM 87401. The listed phone number is (505) 325-5358.

What is Henderson 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 Henderson Jackson was last updated on March 24, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.