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

Corie L Jackson

Individual provider Peer Specialist · NPI 1558953042

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 St
Ponca City, OK 74601-1555
Phone: (918) 308-5515
Fax: (580) 215-5765
Show map & directions

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 number1558953042
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 6, 2021
Last updated in NPPESMarch 9, 2021
Certification dateMarch 9, 2021

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