Koree Mathew Jackson
Driver · Jay, OK
Practice location
32426 S 554 LoopJay, OK 74346
- Phone
- (417) 680-4587
NPI record
- NPI
- 1679395313
- Entity type
- Individual (Type 1)
- Enumeration date
- October 24, 2024
- Last updated
- October 24, 2024
- Certified
- October 22, 2024
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Driver Primary | 172A00000X |
S084009464 | OK |
About Koree Jackson
Koree Mathew Jackson is a healthcare provider registered in the NPI registry with the primary taxonomy Driver (code 172A00000X). The practice location is 32426 S 554 Loop, Jay, OK 74346. The NPI number 1679395313 was assigned on October 24, 2024 and the record was last updated on October 24, 2024.
Koree Jackson lists a license in the registry: #S084009464 (OK) for Driver. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Koree Mathew Jackson?
The NPI number is 1679395313.
What is the phone number of Koree Jackson?
The phone number listed for the practice location is (417) 680-4587.
Where is Koree Jackson located?
32426 S 554 Loop, Jay, OK 74346.
What is the taxonomy code for Koree Jackson?
The primary taxonomy code is 172A00000X – Driver.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.