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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARCUS JACKSON

Active Sole Proprietor

Case Management Agency · INDIANAPOLIS, IN

Registration Details

NPI Number
1245062900
Provider Type
Individual
Gender
Male
NPI Issued
Aug 20, 2024 (1.6708306193599 yrs)
Last Updated
Aug 20, 2024
Sole Proprietor
Yes

Practice Information

Address
4954 E 56TH ST STE 4
INDIANAPOLIS, IN, 462205769
Browse IN providers · Browse ZIP 46220
Phone
3179417387
Primary Specialty
Case Management Agency
251B00000X
Additional Specialty
Case Manager
Additional Specialty
Contractor
Additional Specialty
Community Health Worker
Additional Specialty
Case Management Agency

Other Case Management Agency Providers in INDIANAPOLIS, IN

Name Credential NPI
OMAR KHAYYAM JOHNSON HFA 1245899186
JAMAURIE DAVON LOCKETT 1730916792
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.