National Provider Identifier
Corey Jerrod Jackson, NP
Corey Jerrod Jackson, NP is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Rochester, NY and a listed phone number of (585) 275-4912.
Profile Overview
- NPI
- 1427432343
- Provider Type
- Individual
- Primary Specialty
- Family Nurse Practitioner
- Enumeration Date
- July 10, 2015
- Last Updated
- June 29, 2023
Practice Location
- 601 Elmwood Ave
- Rochester, NY 14642-0001
Phone: (585) 275-4912
Mailing Address
- 601 Elmwood Ave Box Hmd
- Rochester, NY 14642-0001
Specialties
- Family Nurse Practitioner (363LF0000X)
- Registered Nurse (163W00000X)
Endpoints
- cjackson87231@direct.urmc.rochester.edu
Direct Messaging Address | Direct | Other | Rochester, NY 14642
Full Record
- NPI
- 1427432343
- Entity Type
- Individual
- Last Name
- Jackson
- First Name
- Corey
- Middle Name
- Jerrod
- Credential
- NP
- Mailing Street Address
- 601 Elmwood Ave Box Hmd
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14642-0001
- Mailing Country
- US
- Mailing Phone
- (585) 784-9842
- Mailing Fax
- (585) 427-8718
- Practice Street Address
- 601 Elmwood Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14642-0001
- Practice Country
- US
- Practice Phone
- (585) 275-4912
- Practice Fax
- (585) 276-2144
- Enumeration Date
- July 10, 2015
- Last Updated
- June 29, 2023
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Nurse Practitioner (363LF0000X), Registered Nurse (163W00000X)