Billy Jerome Jackson

Driver · Dayton, OH

Individual Active NPI

NPI number 1487242400

Practice location

3225 Amanda Dr
Dayton, OH 45406-1102
Phone
(937) 789-6646

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NPI record

NPI
1487242400
Entity type
Individual (Type 1)
Enumeration date
January 5, 2021
Last updated
January 5, 2021
Certified
January 5, 2021
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Driver Primary 172A00000X RQ788849 OH
Personal Care Attendant 3747P1801X — OH
Homemaker 376J00000X — OH

About Billy Jackson

Billy Jerome Jackson is a healthcare provider registered in the NPI registry with the primary taxonomy Driver (code 172A00000X). The practice location is 3225 Amanda Dr, Dayton, OH 45406-1102. The NPI number 1487242400 was assigned on January 5, 2021 and the record was last updated on January 5, 2021.

Billy Jackson lists a license in the registry: #RQ788849 (OH) 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 Billy Jerome Jackson?

The NPI number is 1487242400.

What is the phone number of Billy Jackson?

The phone number listed for the practice location is (937) 789-6646.

Where is Billy Jackson located?

3225 Amanda Dr, Dayton, OH 45406-1102.

What is the taxonomy code for Billy Jackson?

The primary taxonomy code is 172A00000X – Driver; 2 more listed above.

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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