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

MR. DERRICK LORAND JACKSON

Active Sole Proprietor

MR. DERRICK LORAND JACKSON is a Case Manager healthcare provider located in INDEPENDENCE, Ohio. NPI 1760956452 is currently active in the NPPES registry. Verify at CMS.

Case Manager · INDEPENDENCE, OH

Registration Details

NPI Number
1760956452
Provider Type
Individual
Gender
Male
NPI Issued
Jan 15, 2019 (7.551144665499 yrs)
Last Updated
Jan 15, 2019
Sole Proprietor
Yes

Practice Information

Address
4401 ROCKSIDE RD STE 401
INDEPENDENCE, OH, 441312147
Browse OH providers · Browse ZIP 44131
Phone
2165329776
Primary Specialty
Case Manager
171M00000X

Other Case Manager Providers in INDEPENDENCE, OH

Name Credential NPI
MISS MARY C HOLLINS MA, CDCA 1093256489
LETICIA SMITH CMA, QHMS 1982119103
CURRAN SWOOPE 1518474303
MARVIN PAUL 1043709256
AMY DEA MOORE 1578032892
BRANDON GERMANY 1619447802
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.