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

Corey N Jackson

Individual provider Home Modifications Contractor · NPI 1972873321

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
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Practice location Address checks out

130 Mankin Pl
LA 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

Record details

NPI number1972873321
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 3, 2012
Last updated in NPPESJanuary 3, 2012