NATHANAEL JACKSON
NPI 1457853376
Case Manager/Care Coordinator in Canton, OH

Q: What is Nathanael Jackson's NPI number?

The NPI number for Nathanael Jackson is 1457853376. It was assigned to this individual provider in the NPPES registry on March 7, 2018.

Q: What is Nathanael 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 Nathanael Jackson was last updated on March 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 07, 2018

625 CLEVELAND AVE NW, CANTON, OH 44702(330) 455-0374(330) 455-2101 Get Directions Write a Review

NPPES record last updated: March 7, 2018. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Nathanael Jackson NPPES

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

NATHANAEL JACKSON (NPI 1457853376) is an individual case manager/care coordinator provider in Canton, Ohio and active in the NPI registry since March 2018.

NPPES Registry Identity

NPI1457853376

Entity TypeIndividualMale

Primary Taxonomy171M00000X

Provider Legal NameNATHANAEL JACKSON

Location Address625 CLEVELAND AVE NWCanton, OH 44702-1805

Mailing Address625 Cleveland Ave NwCanton, OH 44702-1805 · (330) 455-0374 · Fax (330) 453-6716

Phone(330) 455-0374

Fax(330) 455-2101

Sole ProprietorNo

Enumeration DateMarch 7, 2018

✔ NPI 1457853376 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.

625 CLEVELAND AVE NW, Canton, OH 44702

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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.

DOUGLAS KEVIN STEVENS CNP

Nurse Practitioner (Psychiatric/Mental Health)