ROGER LEE JACKSON NPI 1881214872

NPI Information

NPI: 1881214872
Provider Name: ROGER LEE JACKSON
Classification: Emergency Medical Technician, Intermediate - 146M00000X
Entity Type: Individual
Address:
713 CLIFTON RD SE
ATLANTA, GA
ZIP 30316
Phone: (404) 246-5444
Get Directions

Roger Lee Jackson is an emergency medical technician intermediate in Atlanta, GA. The provider is an Intermediate EMT is an individual trained and certified to perform intermediate life support treatment in medical emergencies based on individual state boards. Roger Lee Jackson NPI is 1881214872. 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:

713 CLIFTON RD SE
ATLANTA, GA
ZIP 30316-229
Phone: (404) 246-5444

The enumeration date for this NPI number is 4/20/2020 and was last updated on 4/20/2020.

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
1	146M00000X	Emergency Medical Technician, Intermediate		40076	GEORGIA	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: 4/28/2024

NPI Synchronization or Removal

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.

« Previous NPI

Next NPI »