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KENDRA JACKSON B.A, M.ED.
NPI 1194654152
Case Manager/Care Coordinator in Durant, OK

Active since May 15, 2026
112 S 7TH AVE, DURANT, OK 74701(580) 924-4779 Get Directions Write a Review

NPPES record last updated: May 15, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kendra Jackson B.a, M.ed. NPPES

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

KENDRA JACKSON B.A, M.ED. (NPI 1194654152) is an individual case manager/care coordinator provider in Durant, Oklahoma and active in the NPI registry since May 2026.

NPPES Registry Identity

NPI1194654152
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameKENDRA JACKSONCredential: B.A, M.ED.
Location Address112 S 7TH AVEDurant, OK 74701-5017
Mailing Address129 Summit CirDurant, OK 74701-7438
Phone(580) 924-4779
Sole ProprietorYes
Enumeration DateMay 15, 2026
NPPES CertifiedMay 15, 2026
✔ NPI 1194654152 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.
112 S 7TH AVE, Durant, OK 74701
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

ANDREA HAMILTON
Case Manager/Care Coordinator
112 S 7TH AVE
DURANT, OK 74701
Bryan County (580) 924-4779

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 Kendra Jackson's NPI number?

The NPI number for Kendra Jackson is 1194654152. It was assigned to this individual provider in the NPPES registry on May 15, 2026.

Where is Kendra Jackson located?

Kendra Jackson practices at 112 S 7th Ave, Durant, OK 74701. The listed phone number is (580) 924-4779.

What is Kendra 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 Kendra Jackson was last updated on May 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.