What is Clarence Jackson's NPI number?

Clarence Jackson's National Provider Identifier (NPI) is 1104304450, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Clarence Jackson's specialty?

Clarence Jackson is listed in the NPPES registry with a primary specialty of Case Manager/Care Coordinator (Other Service Providers).

Where is Clarence Jackson located?

Clarence Jackson's practice location on file with NPPES is 8440 Market St, Youngstown, OH 44512-6703.

What is Clarence Jackson's phone number?

The practice phone number listed in the NPPES registry for Clarence Jackson is (330) 965-9999.

Is Clarence Jackson's NPI active?

Yes — Clarence Jackson's NPI (1104304450) is active in the NPPES registry as of the last update on 2018-07-30.

IndividualActive

Clarence Jackson

NPI 1104304450 · Case Manager/Care Coordinator · Youngstown, OH

Clarence Jackson is a Case Manager/Care Coordinator provider in Youngstown, OH (NPI 1104304450).

Provider details

NPI number: 1104304450
Entity type: Individual
Primary specialty: Case Manager/Care CoordinatorOther Service Providers
Sex: Male
Sole proprietor: Yes
License: 0000000 (OH)

Specialties & taxonomies

Case Manager/Care CoordinatorPrimary171M00000XLicense 0000000 (OH)
Other Service Providers

Profile Score

Established profile(67/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
7 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

8440 Market St

Youngstown, OH 44512-6703

Phone: (330) 965-9999

Fax: (330) 757-0000

Street-level locationGet directions

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Mailing address