Corie L Jackson
Corie L Jackson is a Peer Specialist in Ponca City, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2021.
- Licensed in
- OK
- In the registry since
- 2021
Practice location Address checks out
2225 N Union StPonca City, OK 74601-1555
Phone: (918) 308-5515
Fax: (580) 215-5765
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X · Licence G083070519 (OK) |
|---|
Record details
| NPI number | 1558953042 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | February 6, 2021 |
| Last updated in NPPES | March 9, 2021 |
| Certification date | March 9, 2021 |
| Mailing address | 2225 N Union St, Ponca City, OK 74601-1555 |
Other providers in Ponca City
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Makayla Dawn Howard
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Edward Dean Hulbert
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Bobby Allen Johnson
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Jessika Johnstone
407 W South Ave, Ponca City, OK 74601-6133 · (844) 458-2100
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Kaella R Kelley
2225 N Union St, Ponca City, OK 74601-1536 · (580) 308-5515
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Princess Danielle Kennedy
2225 N Union St, Ponca City, OK 74601-1555 · (580) 401-3483