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

Q: 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.

Q: What is Henderson Jackson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Henderson Jackson was last updated on March 24, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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: July 26, 2026.

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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