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DR. COREY LAMONT JACKSON SR. D.C.
NPI 1659419075
Chiropractor in Pine Bluff, AR

Active since February 01, 2007
1518 S POPLAR ST, PINE BLUFF, AR 71601(870) 535-4878(870) 850-0199 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Corey Lamont Jackson Sr. D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. COREY LAMONT JACKSON SR. D.C. (NPI 1659419075) is an individual chiropractor in Pine Bluff, Arkansas, licensed in Arkansas (1684) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1659419075
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. COREY LAMONT JACKSON SR.Credential: D.C.
Location Address1518 S POPLAR STPine Bluff, AR 71601-6249
Mailing Address3615 W Hepburn StPine Bluff, AR 71603-2537 · (870) 692-6618 · Fax (870) 540-0554
Phone(870) 535-4878
Fax(870) 850-0199
Sole ProprietorNo
Enumeration DateFebruary 1, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1659419075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in AR · 1684
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
1518 S POPLAR ST, Pine Bluff, AR 71601
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Other Identifiers 2

Medicare ID-Type Unspecified5A242AR
Medicare UPINV12243AR

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PORTER JACKSON III D.C.
Chiropractor
1518 S POPLAR ST
PINE BLUFF, AR 71601
Jefferson County (870) 595-4878

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Corey Jackson's NPI number?

The NPI number for Corey Jackson is 1659419075. It was assigned to this individual provider in the NPPES registry on February 1, 2007.

Where is Corey Jackson located?

Corey Jackson practices at 1518 S Poplar St, Pine Bluff, AR 71601. The listed phone number is (870) 535-4878.

What is Corey Jackson's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Corey Jackson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.