Jackson, Cory David

Jackson, Cory David is an individual health care provider with primary practice located at 1340 Hal Greer Blvd , Huntington WV 25701-3804. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Nursing Service Providers / Emergency. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Jackson, Cory David can be contacted via phone (304) 399-6727.

Contact Information

Primary practice address
1340 Hal Greer Blvd Huntington WV 25701-3804
Phone: (304) 399-6727
Fax: (304) 399-6726
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 96293 West Virginia
Nursing Service Providers / Emergency 163WE0003X 96293 West Virginia

Profile Details

NPI number 1194340687
LBN Legal business name Jackson, Cory David
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2020
Last updated May 21st, 2024 - about 7 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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