{"npi":"1700285491","type":"NPI-1","status":"active","name":{"display":"Jackie Correro FNP","other":[],"first":"JACKIE","last":"CORRERO","middle":"L","credential":"FNP"},"specialty":{"primary_taxonomy":"363LF0000X","primary_taxonomy_description":"Family Nurse Practitioner","slug":"family-nurse-practitioner","schema_org_specialty":null,"all":[{"code":"363LF0000X","description":"Family Nurse Practitioner","primary":true,"state":"MS","license":"R871348"}]},"addresses":[{"purpose":"LOCATION","street_1":"8060 WOLF RIVER BLVD","city":"GERMANTOWN","state":"TN","postal_code":"381381727","country_code":"US","phone":"9012711000","fax":"9012714187"},{"purpose":"MAILING","street_1":"8060 WOLF RIVER BLVD","city":"GERMANTOWN","state":"TN","postal_code":"381381727","country_code":"US","phone":"9012711000","fax":"9012714187"}],"license":{"state":"MS","number":"R871348"},"identifiers":[{"type_code":"01","label":"Other","value":"R871348","state":"MS","issuer":"LICENSE"},{"type_code":"01","label":"Other","value":"1309514","state":"MS","issuer":"AANP"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20141112000402","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"MS","pac_id":"3072735893"},{"enrlmt_id":"I20200114001429","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"TN","pac_id":"3072735893"}]},"enumeration_date":"2014-08-19","last_updated":"2014-08-19","_meta":{"source":"NPPES","snapshot_date":"2014-08-19","doc_url":"https://findmynpi.com/api"}}