MALINDA JACKSON NPI 1366250037

NPI Information

  • NPI: 1366250037
  • Provider Name: MALINDA JACKSON
  • Classification: Driver - 172A00000X
  • Entity Type: Individual
  • Address: 180 FARM LN
    FAYETTEVILLE, GA
    ZIP 30214
  • Phone: (706) 231-0308

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NPI Details

Malinda Jackson is a driver in Fayetteville, GA. The provider is a person employed to operate a motor vehicle as a carrier of persons or property. Malinda Jackson NPI is 1366250037. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

180 FARM LN
FAYETTEVILLE, GA
ZIP 30214-135
Phone: (706) 231-0308

The enumeration date for this NPI number is 12/26/2024 and was last updated on 12/26/2024.

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
1172A00000XDriverYes

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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