Cory Lynn Jackson
Case Manager/Care Coordinator in Nome, AK. Individual provider (NPI-1).
NPI number1578060448
StatusActive
Last updated in NPPESApr 9, 2018
Details
- NPI
- 1578060448
- Entity type
- Individual (NPI-1)
- Name
- Cory Lynn Jackson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 9, 2018
- Last updated
- Apr 9, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
1 Nome Bypass RoadNome, AK 99762-0966
Phone 907-443-9603
Mailing address
Po Box 966Nome, AK 99762-0966
Phone 907-443-9603
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 22 Case Manager/Care Coordinator providers in Nome · All 386 providers in Nome
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