KOREE MATHEW JACKSON
NPI 1679395313
Driver in Jay, OK

Q: What is Koree Jackson's NPI number?

The NPI number for Koree Jackson is 1679395313. It was assigned to this individual provider in the NPPES registry on October 24, 2024.

Q: What is Koree Jackson's specialty?

The primary specialty registered for this NPI is Driver with taxonomy code 172A00000X.

Q: When was this NPI record last updated?

The NPPES record for Koree Jackson was last updated on October 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.

Active since October 24, 2024

32426 S 554 LOOP, JAY, OK 74346(417) 680-4587 Get Directions Write a Review

NPPES record last updated: October 24, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Koree Mathew Jackson NPPES

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

KOREE MATHEW JACKSON (NPI 1679395313) is an individual driver provider in Jay, Oklahoma, licensed in Oklahoma (S084009464) and active in the NPI registry since October 2024.

NPPES Registry Identity

NPI1679395313

Entity TypeIndividualMale

Primary Taxonomy172A00000X

Provider Legal NameKOREE MATHEW JACKSON

Location Address32426 S 554 LOOPJay, OK 74346

Mailing Address32426 S 554 LoopJay, OK 74346 · (417) 680-4587

Phone(417) 680-4587

Sole ProprietorNo

Enumeration DateOctober 24, 2024

NPPES CertifiedOctober 22, 2024

✔ NPI 1679395313 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDriverOther Service Providers

Taxonomy Code172A00000X

License✔ Licensed in OK · S084009464

Definition

A person employed to operate a motor vehicle as a carrier of persons or property.

32426 S 554 LOOP, Jay, OK 74346

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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 Koree Jackson's NPI number?

The NPI number for Koree Jackson is 1679395313. It was assigned to this individual provider in the NPPES registry on October 24, 2024.

Where is Koree Jackson located?

Koree Jackson practices at 32426 S 554 Loop, Jay, OK 74346. The listed phone number is (417) 680-4587.

What is Koree Jackson's specialty?

The primary specialty registered for this NPI is Driver with taxonomy code 172A00000X.

When was this NPI record last updated?

The NPPES record for Koree Jackson was last updated on October 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.