National Provider Identifier
Korry Jackson
Korry Jackson is listed in the NPPES registry with a primary specialty of Case Manager/Care Coordinator in Rochester, NY and a listed phone number of (585) 546-3046.
Source: public NPPES record, last updated January 10, 2020. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1083254700
- Provider Type
- Individual
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- January 10, 2020
- Last Updated
- January 10, 2020
Practice Location
- 1645 Saint Paul St
- Rochester, NY 14621-3162
Phone: (585) 546-3046
Specialties
- Case Manager/Care Coordinator (171M00000X)
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Full Record
- NPI
- 1083254700
- Entity Type
- Individual
- Last Name
- Jackson
- First Name
- Korry
- Mailing Street Address
- 1645 Saint Paul St
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14621-3162
- Mailing Country
- US
- Mailing Phone
- (585) 546-3046
- Practice Street Address
- 1645 Saint Paul St
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14621-3162
- Practice Country
- US
- Practice Phone
- (585) 546-3046
- Enumeration Date
- January 10, 2020
- Last Updated
- January 10, 2020
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- January 10, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Case Manager/Care Coordinator (171M00000X)