Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Corey T Jackson

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1235068297

Corey T Jackson is a Student in an Organized Health Care Education/Training Program in Memphis, Tennessee. Licensed in Tennessee. Registered with an NPI since 2026.

Licensed in
TN
In the registry since
2026

Practice location Address checks out

51 N Dunlap St
Memphis, TN 38105-4624
Phone: (866) 870-5570
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (TN)

Record details

NPI number1235068297
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 15, 2026
Last updated in NPPESMay 15, 2026
Certification dateMay 6, 2026
Mailing address400 Innovation Dr, Memphis, TN 38152-0001

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