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BILLY JEROME JACKSON NPI 1487242400


NPI Information

NPI: 1487242400
Provider Name: BILLY JEROME JACKSON
Classification: Driver - 172A00000X
Entity Type: Individual
Address:
3225 AMANDA DR
DAYTON, OH
ZIP 45406
Phone: (937) 789-6646
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Billy Jerome Jackson is a driver in Dayton, OH. The provider is a person employed to operate a motor vehicle as a carrier of persons or property. Billy Jerome Jackson NPI is 1487242400. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3225 AMANDA DR
DAYTON, OH
ZIP 45406-102
Phone: (937) 789-6646

The enumeration date for this NPI number is 1/5/2021 and was last updated on 1/5/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1172A00000XDriverRQ788849OHIOYes
23747P1801XTechnicianPersonal Care AttendantOHIONo
3376J00000XHomemakerOHIONo

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.