KOREE MATHEW JACKSON
NPI 1679395313
Driver in Jay, OK
- Individual
- Male
- Driver
About KOREE JACKSON
This page provides the complete NPI Profile along with additional information for Koree Jackson, a provider established in Jay, Oklahoma with a medical specialization in Driver. The healthcare provider is registered in the NPI registry with number 1679395313 assigned on October 2024. The practitioner's primary taxonomy code is 172A00000X with license number S084009464 (OK). The provider is registered as an individual and his NPI record was last updated 2 years ago.
- NPI
- 1679395313 Verify this NPI
- Provider Name
- KOREE MATHEW JACKSON
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 32426 S 554 LOOP JAY, OK 74346
- Location Phone
- (417) 680-4587
- Mailing Address
- 32426 S 554 LOOP JAY, OK 74346
- Mailing Phone
- (417) 680-4587
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-24-2024
- Last Update Date
- 10-24-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Driver
- Taxonomy Code
- 172A00000X
- Type
- Other Service Providers
- License No.
- S084009464
- License State
- OK
- Taxonomy Description
- A person employed to operate a motor vehicle as a carrier of persons or property.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1679395313, enumerated as an "individual" on October 24, 2024.
The provider is located at 32426 S 554 LOOP JAY, OK 74346 and the phone number is (417) 680-4587.
Driver with taxonomy code 172A00000X.
