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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

COREY N JACKSON

Active Sole Proprietor

COREY N JACKSON is a Hypnotherapist healthcare provider located in LA VERGNE, Tennessee. NPI 1972873321 is currently active in the NPPES registry. Verify at CMS.

Hypnotherapist · LA VERGNE, TN

Registration Details

NPI Number
1972873321
Provider Type
Individual
Gender
Male
NPI Issued
Jan 3, 2012 (14.629754354543 yrs)
Last Updated
Jan 3, 2012
Sole Proprietor
Yes

Practice Information

Address
130 MANKIN PL
LA VERGNE, TN, 370863048
Browse TN providers · Browse ZIP 37086
Phone
9317221443
Primary Specialty
Hypnotherapist
171WH0202X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.