REVIS JACKSON JR.
NPI 1356936504
Case Manager/Care Coordinator in Hammond, LOUISIANA

Q: What is Revis Jackson's NPI number?

The NPI number for Revis Jackson is 1356936504. It was assigned to this individual provider in the NPPES registry on March 9, 2021.

Q: What is Revis 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 Revis Jackson was last updated on March 9, 2021. 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.

Active since March 09, 2021

1102 COMMERCIAL DRIVE, HAMMOND, LOUISIANA 70403(985) 662-3799 Get Directions Write a Review

NPPES record last updated: March 9, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Revis Jackson Jr. NPPES

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

REVIS JACKSON JR. (NPI 1356936504) is an individual case manager/care coordinator provider in Hammond, LOUISIANA and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1356936504

Entity TypeIndividualMale

Primary Taxonomy171M00000X

Provider Legal NameREVIS JACKSON JR.

Location Address1102 COMMERCIAL DRIVEHammond, LOUISIANA 70403

Mailing Address1102 Commercial DrHammond, LA 70403-5954

Phone(985) 662-3799

Sole ProprietorNo

Enumeration DateMarch 9, 2021

NPPES CertifiedMarch 9, 2021

✔ NPI 1356936504 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.

1102 COMMERCIAL DRIVE, Hammond, LOUISIANA 70403

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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 Revis Jackson's NPI number?

The NPI number for Revis Jackson is 1356936504. It was assigned to this individual provider in the NPPES registry on March 9, 2021.

Where is Revis Jackson located?

Revis Jackson practices at 1102 Commercial Drive, Hammond, LOUISIANA 70403. The listed phone number is (985) 662-3799.

What is Revis 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 Revis Jackson was last updated on March 9, 2021. 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.