COREY N JACKSON (NPI# 1972873321) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972873321 |
Entity Type | Individual |
Full Name | COREY N JACKSON |
Practice Address |
130 Mankin Pl La Vergne TN 37086-3048 |
Practice Telephone | 9317221443 |
Mailing Telephone | 9317221443 |
Enumeration Date | 2012-01-03 |
Last Update Date | 2012-01-03 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 171WH0202X |
Contractor Specialization: Home Modifications |
Other Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659419075 | Corey Lamont Jackson Sr. | Chiropractor | 1518 S Poplar St, Pine Bluff, AR 71601-6249 | 2007-02-01 |
1215395637 | Corey Jackson | Health Educator | 100 Chambers St, Cumberland, RI 02864-7724 | 2016-01-30 |
1427432343 | Corey Jerrod Jackson | Registered Nurse | 601 Elmwood Ave, Rochester, NY 14642-0001 | 2015-07-10 |
1154735611 | Corey Jackson | Physical Therapist | 1551 N Rock Rd, Wichita, KS 67206-1255 | 2014-06-12 |
1558672881 | Corey E Jackson | Physical Therapist | 917 Beville Rd, Suite G, South Daytona, FL 32119-1712 | 2010-07-01 |
1669693032 | Corey Alan Jackson | Orthopaedic Surgery | 3373 Commerce Pkwy Ste 2, Wooster, OH 44691-7130 | 2007-05-01 |
1194866707 | Corey Jai Jackson | Counselor | 3995 Marcola Rd, Springfield, OR 97477-7948 | 2007-02-08 |
Street Address |
130 MANKIN PL |
City | LA VERGNE |
State | TN |
Zip Code | 37086-3048 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184146037 | Elizabeth Vernon | Nurse Practitioner | 126 Washer Drive, La Vergne, TN 37086 | 2017-07-12 |
1508164997 | Priscilla Bolt Travis | Pharmacist | 5192 Murfreesboro Road, Rite Aid Pharmacy, Lavergne, TN 37086 | 2011-03-09 |
1336349000 | Larry M Gray | Marriage & Family Therapist | 6001 Jackson Square Blvd., Suite 200, Lavergne, TN 37086 | 2007-07-20 |
1346456845 | Chd Meridian Healthcare | Clinic/Center | 1201 Bridgestone Parkway, Lavergne, TN 37086 | 2007-05-14 |
1821140468 | Dawn Eilenne Fleming | Dentist | 6001 Jackson Square Blvd., Ste. 1001, Lavergne, TN 37086 | 2007-01-16 |
1700941291 | Karl A Probst | Chiropractor | 262 Old Nashville Hwy, La Vergne, TN 37086 | 2006-12-26 |
1659447571 | Lucy Burgin Sloan | Dentist | 379 Waldron Rd, Lavergne, TN 37086 | 2006-11-24 |
1306929005 | Rutherford County Medical Associates, LLC | Family Medicine | 6001 Jackson Sq, Suite 100 Family Healthcare, La Vergne, TN 37086 | 2006-10-24 |
1164525887 | Tennessee Cvs Pharmacy LLC | Pharmacy | 5202 Murfreesboro Rd, La Vergne, TN 37086 | 2006-09-07 |
1265429898 | Melissa Robison | Pharmacy Technician | 108 Enon Springs Rd, Smyrna, TN 37086 | 2005-09-29 |
Find all providers in zip 37086 |
Taxonomy Code | 171WH0202X |
Grouping | Other Service Providers |
Classification | Contractor |
Specialization | Home Modifications |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114548146 | Emmert Enterprises Inc | Contractor | 5009 E Governor John Sevier Hwy, Knoxville, TN 37914-6124 | 2020-04-30 |
1881240117 | Family First Handyman Services, LLC | Contractor | 8081 Kingston Pike Ste 101, Knoxville, TN 37919-5588 | 2019-08-13 |
1467931287 | Travis Dean Smith | Contractor | 443 Grover Ln, Jamestown, TN 38556-5568 | 2018-08-13 |
1649765553 | Tucker's House | Contractor | 201 Beasley Drive Unit G, Franklin, TN 37064 | 2018-06-25 |
1427549641 | Tucker's House | Contractor | 201 Beasley Dr Ste G, Franklin, TN 37064-3933 | 2018-05-23 |
1518407659 | Ellen Brown | Contractor | 2669 Tangbourne Dr, Memphis, TN 38119-8509 | 2017-03-07 |
1538612387 | Michael Smith | Contractor | 254 Newby Loop Rd, Pikeville, TN 37367-4234 | 2016-07-28 |
1518364934 | Sanctuary Homes LLC | Contractor | 3926 Greenleaf Ave, Knoxville, TN 37919-4512 | 2014-12-01 |
1487080826 | Barry Payne | Contractor | 7363 Lee Hwy, Chattanooga, TN 37421-1404 | 2013-09-17 |
1740612787 | Landlord's Helper, Inc | Contractor | 8422 Village Green Dr, Cross Plains, TN 37049-5026 | 2013-08-01 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.