Michael Jackson

Driver · Byram, MS

Individual Active NPI

NPI number 1104428473

Practice location

252 Charlene Dr
Byram, MS 39272-6418
Phone
(601) 278-2435

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NPI record

NPI
1104428473
Entity type
Individual (Type 1)
Enumeration date
November 12, 2020
Last updated
November 12, 2020
Certified
November 12, 2020
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Driver Primary 172A00000X 800105022 MS

About Michael Jackson

Michael Jackson is a healthcare provider registered in the NPI registry with the primary taxonomy Driver (code 172A00000X). The practice location is 252 Charlene Dr, Byram, MS 39272-6418. The NPI number 1104428473 was assigned on November 12, 2020 and the record was last updated on November 12, 2020.

Michael Jackson lists a license in the registry: #800105022 (MS) for Driver. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Michael Jackson?

The NPI number is 1104428473.

What is the phone number of Michael Jackson?

The phone number listed for the practice location is (601) 278-2435.

Where is Michael Jackson located?

252 Charlene Dr, Byram, MS 39272-6418.

What is the taxonomy code for Michael Jackson?

The primary taxonomy code is 172A00000X – Driver.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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