Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHAEL JACKSON
Active Sole ProprietorMICHAEL JACKSON is a Driver healthcare provider located in BYRAM, Mississippi. NPI 1104428473 is currently active in the NPPES registry. Verify at CMS.
Driver · BYRAM, MS
Registration Details
- NPI Number
- 1104428473
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 12, 2020 (5.7259248903415 yrs)
- Last Updated
- Nov 12, 2020
- License
-
800105022 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
252 CHARLENE DRBYRAM, MS, 392726418Browse MS providers · Browse ZIP 39272
- Phone
- 6012782435
- Primary Specialty
-
Driver
172A00000X
Other Driver Providers in BYRAM, MS
| Name | Credential | NPI |
|---|---|---|
| NATAESHA JACKSON | — | 1508468604 |
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.