MR. JACARRI DEANDRELL JACKSON
NPI 1154780880
Case Manager/Care Coordinator in Bossier City, LA

Active since February 23, 2016
343 GASTON LN, BOSSIER CITY, LA 71112(318) 461-2256 Get Directions Write a Review

NPPES record last updated: November 30, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 30, 2020, Mar 3, 2017, Feb 23, 2016 (3 updates tracked since 2016).

About Mr. Jacarri Deandrell Jackson NPPES

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

MR. JACARRI DEANDRELL JACKSON (NPI 1154780880) is an individual case manager/care coordinator provider in Bossier City, Louisiana and active in the NPI registry since February 2016.

NPPES Registry Identity

NPI1154780880
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameMR. JACARRI DEANDRELL JACKSON
Location Address343 GASTON LNBossier City, LA 71112-4270
Mailing Address238 Wildwood StMansfield, LA 71052-6420 · (318) 465-1790
Sole ProprietorNo
Enumeration DateFebruary 23, 2016
Last NPPES UpdateNovember 30, 20203 updates tracked since enumeration
NPPES CertifiedNovember 30, 2020
NPI 1154780880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

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.
Also ListedCounselorTaxonomy 101Y00000X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
343 GASTON LN, Bossier City, LA 71112

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 Jacarri Jackson's NPI number?

The NPI number for Jacarri Jackson is 1154780880. It was assigned to this individual provider in the NPPES registry on February 23, 2016.

Where is Jacarri Jackson located?

Jacarri Jackson practices at 343 Gaston Ln, Bossier City, LA 71112. The listed phone number is (318) 461-2256.

What is Jacarri 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 Jacarri Jackson was last updated on November 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.