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TRAVIS JACKSON
NPI 1720573678
Case Manager/Care Coordinator in Tallulah, LA

Active since June 23, 2018
124 KIMBROUGH BLVD BLDG Q124, TALLULAH, LA 71282(318) 574-4400 Get Directions Write a Review

NPPES record last updated: June 23, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Travis Jackson NPPES

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

TRAVIS JACKSON (NPI 1720573678) is an individual case manager/care coordinator provider in Tallulah, Louisiana and active in the NPI registry since June 2018.

NPPES Registry Identity

NPI1720573678
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameTRAVIS JACKSON
Location Address124 KIMBROUGH BLVD BLDG Q124Tallulah, LA 71282-4307
Mailing Address124 Kimbrough Blvd Bldg Q124Tallulah, LA 71282-4307 · (318) 574-4400
Phone(318) 574-4400
Sole ProprietorYes
Enumeration DateJune 23, 2018
✔ NPI 1720573678 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.
124 KIMBROUGH BLVD BLDG Q124, Tallulah, LA 71282
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Other Providers at the Same Location NPPES 5

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

LATOYA MANUEL
Case Manager/Care Coordinator
124 KIMBROUGH BLVD BLDG Q124
TALLULAH, LA 71282
Madison Parish (318) 574-4400
QUAKEITHA JACKSON
Case Manager/Care Coordinator
124 KIMBROUGH BLVD BLDG Q124
TALLULAH, LA 71282
Madison Parish (318) 574-4400
DANIELLE DAVIS
Case Manager/Care Coordinator
124 KIMBROUGH BLVD BLDG Q124
TALLULAH, LA 71282
Madison Parish (601) 574-4400
CAROLETTA ROACH
Case Manager/Care Coordinator
124 KIMBROUGH BLVD BLDG Q124
TALLULAH, LA 71282
Madison Parish (318) 574-4400
MYESHA WILLS
Case Manager/Care Coordinator
124 KIMBROUGH BLVD BLDG Q124
TALLULAH, LA 71282
Madison Parish (318) 574-4400

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 Travis Jackson's NPI number?

The NPI number for Travis Jackson is 1720573678. It was assigned to this individual provider in the NPPES registry on June 23, 2018.

Where is Travis Jackson located?

Travis Jackson practices at 124 Kimbrough Blvd Bldg Q124, Tallulah, LA 71282. The listed phone number is (318) 574-4400.

What is Travis 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 Travis Jackson was last updated on June 23, 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.