Cory Lynn Jackson

NPI #1578060448 in Nome, Alaska

Provider Information

NPI Number: 1578060448
Entity Type: Individual
Name: Cory Lynn Jackson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Case Manager/Care Coordinator
Enumeration Date: Apr 9, 2018
Last Updated: Apr 9, 2018

Practice Location

Address: 1 NOME BYPASS ROAD
City: Nome
State: Alaska
ZIP Code: 99762-0966
Phone: (907) 443-9603

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X	Primary

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