IRVIN CHARLES JACKSON NPI 1851903264

NPI Information

  • NPI: 1851903264
  • Provider Name: IRVIN CHARLES JACKSON
  • Classification: Non-emergency Medical Transport (VAN) - 343900000X
  • Entity Type: Individual
  • Address: 327 EAST STREET
    SHUBUTA, MS
    ZIP 39360
  • Phone: (601) 577-4018

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NPI Details

Irvin Charles Jackson is a non emergency medical transport van in Shubuta, MS. The provider is a land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. Irvin Charles Jackson NPI is 1851903264. 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:

327 EAST STREET
SHUBUTA, MS
ZIP 39360
Phone: (601) 577-4018

The enumeration date for this NPI number is 8/18/2020 and was last updated on 9/2/2020.

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
1343900000XNon-emergency Medical Transport (VAN)8006822128MISSISSIPPINo
2343900000XNon-emergency Medical Transport (VAN)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: 11/21/2025

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