Corey N Jackson
Corey N Jackson is a Home Modifications Contractor in LA Vergne, Tennessee. Practices as a sole proprietor. Registered with an NPI since 2012.
- In the registry since
- 2012
Practice location Address checks out
130 Mankin PlLA Vergne, TN 37086-3048
Phone: (931) 722-1443
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Home Modifications Contractor (primary) | Taxonomy 171WH0202X |
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Record details
| NPI number | 1972873321 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 3, 2012 |
| Last updated in NPPES | January 3, 2012 |
| Mailing address | 130 Mankin Pl, La Vergne, TN 37086-3048 |