DEMETRIS JACKSON NPI 1699342287

NPI Information

NPI: 1699342287
Provider Name: DEMETRIS JACKSON
Classification: Driver - 172A00000X
Entity Type: Individual
Address:
3406 E LOUISIANA STATE DR
KENNER, LA
ZIP 70065
Phone: (504) 380-2792
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Demetris Jackson is a driver in Kenner, LA. The provider is a person employed to operate a motor vehicle as a carrier of persons or property. Demetris Jackson NPI is 1699342287. 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:

3406 E LOUISIANA STATE DR
KENNER, LA
ZIP 70065-524
Phone: (504) 380-2792

The enumeration date for this NPI number is 6/10/2021 and was last updated on 6/10/2021.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	172A00000X	Driver			LOUISIANA	Yes

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: 5/5/2024

NPI Synchronization or Removal

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