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BRANDON JACKSON
NPI 1730079963
Case Manager/Care Coordinator in Conway, AR

Active since July 08, 2025
132 LOWER RIDGE RD, CONWAY, AR 72032(501) 315-3344 Get Directions Write a Review

NPPES record last updated: July 8, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Brandon Jackson NPPES

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

BRANDON JACKSON (NPI 1730079963) is an individual case manager/care coordinator provider in Conway, Arkansas and active in the NPI registry since July 2025.

NPPES Registry Identity

NPI1730079963
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameBRANDON JACKSON
Location Address132 LOWER RIDGE RDConway, AR 72032-8518
Mailing AddressPo Box 1589Benton, AR 72018-1589 · (501) 315-3344
Phone(501) 315-3344
Sole ProprietorNo
Enumeration DateJuly 8, 2025
NPPES CertifiedJuly 8, 2025
✔ NPI 1730079963 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.
132 LOWER RIDGE RD, Conway, AR 72032
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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.

MR. JIMI HENDERSON SR. RECOVERY ASSISTANT
Case Manager/Care Coordinator
132 LOWER RIDGE RD
CONWAY, AR 72032
Faulkner County (501) 548-9905
KELVIN RIDGELL JR.
Case Manager/Care Coordinator
132 LOWER RIDGE RD
CONWAY, AR 72032
Faulkner County (501) 315-3344
TODD MCGUIRE
Counselor (Mental Health)
132 LOWER RIDGE RD
CONWAY, AR 72032
Faulkner County (501) 315-3344
CHIGOZIE P UDUEZUE
Case Manager/Care Coordinator
132 LOWER RIDGE RD
CONWAY, AR 72032
Faulkner County (501) 303-3105
CAROL MARIE KRETZMANN LPC
Counselor (Professional)
132 LOWER RIDGE RD
CONWAY, AR 72032
Faulkner County (501) 548-9905
RILEY GAMBILL RECOVERY ASSISTANT
Case Manager/Care Coordinator
132 LOWER RIDGE RD
CONWAY, AR 72032
Faulkner County (501) 548-9905
DIERRA LEE RECOVERY ASSISTANT
Case Manager/Care Coordinator
132 LOWER RIDGE RD
CONWAY, AR 72032
Faulkner County (501) 548-9905
JOSLYN ACKLIN
Case Manager/Care Coordinator
132 LOWER RIDGE RD
CONWAY, AR 72032
Faulkner County (501) 548-9905

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 Brandon Jackson's NPI number?

The NPI number for Brandon Jackson is 1730079963. It was assigned to this individual provider in the NPPES registry on July 8, 2025.

Where is Brandon Jackson located?

Brandon Jackson practices at 132 Lower Ridge Rd, Conway, AR 72032. The listed phone number is (501) 315-3344.

What is Brandon 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 Brandon Jackson was last updated on July 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.