Jackson Ernest Stewart
Case Manager/Care Coordinator in Albuquerque, NM. Individual provider (NPI-1).
NPI number1962398693
StatusActive
Last updated in NPPESJun 17, 2025
Details
- NPI
- 1962398693
- Entity type
- Individual (NPI-1)
- Name
- Jackson Ernest Stewart
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 17, 2025
- Certification date
- Jun 17, 2025
- Last updated
- Jun 17, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
5601 Domingo Rd NeAlbuquerque, NM 87108-1610
Phone 505-268-5295
Mailing address
5601 Domingo Rd NeAlbuquerque, NM 87108-1610
Phone 505-268-5295
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