IndividualActive
Corie Jackson
NPI 1558953042 · Peer Specialist · Ponca City, OK
Corie Jackson is a Peer Specialist provider in Ponca City, OK (NPI 1558953042).
Provider details
- NPI number
- 1558953042
- Entity type
- Individual
- Primary specialty
- Peer SpecialistOther Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- G083070519 (OK)
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2225 N Union St
Ponca City, OK 74601-1555
Phone: (918) 308-5515
Fax: (580) 215-5765
Street-level locationGet directions
Mailing address
2225 N Union St
Ponca City, OK 74601-1555
Registry dates
- Enumerated
- 2021-02-06
- Last updated
- 2021-03-09
- Certified
- 2021-03-09
Frequently asked questions
- What is Corie Jackson's NPI number?
- Corie Jackson's National Provider Identifier (NPI) is 1558953042, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Corie Jackson's specialty?
- Corie Jackson is listed in the NPPES registry with a primary specialty of Peer Specialist (Other Service Providers).
- Where is Corie Jackson located?
- Corie Jackson's practice location on file with NPPES is 2225 N Union St, Ponca City, OK 74601-1555.
- What is Corie Jackson's phone number?
- The practice phone number listed in the NPPES registry for Corie Jackson is (918) 308-5515.
- Is Corie Jackson's NPI active?
- Yes — Corie Jackson's NPI (1558953042) is active in the NPPES registry as of the last update on 2021-03-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.