CORINNA JACKSON NPI 1174907281

NPI Information

NPI: 1174907281
Provider Name: CORINNA JACKSON
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Address:
10690 NE CORNELL RD STE 315
HILLSBORO, OR
ZIP 97124
Phone: (503) 352-0468
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Corinna Jackson is a psychiatric/mental health nurse practitioner in Hillsboro, OR. Corinna Jackson NPI is 1174907281. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

10690 NE CORNELL RD STE 315
HILLSBORO, OR
ZIP 97124-224
Phone: (503) 352-0468

The enumeration date for this NPI number is 7/17/2015 and was last updated on 9/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103K00000X	Behavior Analyst				No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	202214795NP-PP	OREGON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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