Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LAVAR JACKSON
Active Sole ProprietorLAVAR JACKSON is a Transportation Broker healthcare provider located in MADISON, Mississippi. NPI 1053914754 is currently active in the NPPES registry. Verify at CMS.
Transportation Broker · MADISON, MS
Registration Details
- NPI Number
- 1053914754
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 17, 2020 (5.5534846065702 yrs)
- Last Updated
- Nov 17, 2020
- Sole Proprietor
- Yes
Practice Information
- Address
-
820 ANNANDALE RDMADISON, MS, 391107827Browse MS providers · Browse ZIP 39110
- Phone
- 5042501316
- Primary Specialty
-
Transportation Broker
347E00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.