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BREYAN LASHAWN JACKSON
NPI 1912462094
Case Manager/Care Coordinator in Tulsa, OK

Active since February 04, 2019
3606 N MLK JR. BLVD, TULSA, OK 74106(918) 949-4212(918) 949-4299 Get Directions Write a Review

NPPES record last updated: February 4, 2019. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Breyan Lashawn Jackson NPPES

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

BREYAN LASHAWN JACKSON (NPI 1912462094) is an individual case manager/care coordinator provider in Tulsa, Oklahoma and active in the NPI registry since February 2019.

NPPES Registry Identity

NPI1912462094
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameBREYAN LASHAWN JACKSON
Location Address3606 N MLK JR. BLVDTulsa, OK 74106
Mailing Address3606 N Mlk Jr. BlvdTulsa, OK 74106 · (918) 949-4212 · Fax (918) 949-4299
Phone(918) 949-4212
Fax(918) 949-4299
Sole ProprietorYes
Enumeration DateFebruary 4, 2019
✔ NPI 1912462094 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.
3606 N MLK JR. BLVD, Tulsa, OK 74106
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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 Breyan Jackson's NPI number?

The NPI number for Breyan Jackson is 1912462094. It was assigned to this individual provider in the NPPES registry on February 4, 2019.

Where is Breyan Jackson located?

Breyan Jackson practices at 3606 N Mlk Jr. Blvd, Tulsa, OK 74106. The listed phone number is (918) 949-4212.

What is Breyan 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 Breyan Jackson was last updated on February 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.