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

Korry Jackson

Individual provider Case Manager/Care Coordinator · NPI 1083254700

Korry Jackson is a Case Manager/Care Coordinator in Rochester, New York. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

1645 Saint Paul St
Rochester, NY 14621-3162
Phone: (585) 546-3046
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1083254700
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 10, 2020
Last updated in NPPESJanuary 10, 2020
Certification dateJanuary 10, 2020
Mailing address1645 Saint Paul St, Rochester, NY 14621-3162

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