LAVAR JACKSON NPI 1053914754

NPI Information

  • NPI: 1053914754
  • Provider Name: LAVAR JACKSON
  • Classification: Transportation Broker - 347E00000X
  • Entity Type: Individual
  • Address: 820 ANNANDALE RD
    MADISON, MS
    ZIP 39110
  • Phone: (504) 250-1316

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NPI Details

Lavar Jackson is a transportation broker in Madison, MS. The provider is an organization that provides transportation for individuals who need access to medical care or services and have no other means of transportation. Transportation includes, but is not limited to, wheelchair van, taxi, stretcher car, bus passes and tickets, and secured transportation. Lavar Jackson NPI is 1053914754. 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:

820 ANNANDALE RD
MADISON, MS
ZIP 39110-827
Phone: (504) 250-1316

The enumeration date for this NPI number is 11/17/2020 and was last updated on 11/17/2020.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1347E00000XTransportation BrokerYes

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: 11/21/2025

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