VICKIE JACKSON
NPI 1215493622
Case Manager/Care Coordinator in Fresno, CA

Q: What is Vickie Jackson's NPI number?

The NPI number for Vickie Jackson is 1215493622. It was assigned to this individual provider in the NPPES registry on February 11, 2019.

Q: What is Vickie 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 Vickie Jackson was last updated on January 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since February 11, 2019

4285 N VALENTINE AVE, FRESNO, CA 93722(559) 241-0955 Get Directions Write a Review

NPPES record last updated: January 13, 2020. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jan 13, 2020, Feb 11, 2019 (2 updates tracked since 2019).

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About Vickie Jackson NPPES

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

VICKIE JACKSON (NPI 1215493622) is an individual case manager/care coordinator provider in Fresno, California and active in the NPI registry since February 2019.

NPPES Registry Identity

NPI1215493622

Entity TypeIndividualFemale

Primary Taxonomy171M00000X

Provider Legal NameVICKIE JACKSON

Location Address4285 N VALENTINE AVEFresno, CA 93722-4148

Mailing Address4285 N Valentine AveFresno, CA 93722-4148 · (559) 241-0955

Phone(559) 241-0955

Sole ProprietorNo

Enumeration DateFebruary 11, 2019

Last NPPES UpdateJanuary 13, 20202 updates tracked since enumeration

✔ NPI 1215493622 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.

4285 N VALENTINE AVE, Fresno, CA 93722

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