Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MALINDA M JACKSON
ActiveMALINDA M JACKSON is a Driver healthcare provider located in DECATUR, Illinois. NPI 1619648839 is currently active in the NPPES registry. Verify at CMS.
Driver · DECATUR, IL
Registration Details
- NPI Number
- 1619648839
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 27, 2021 (4.8898431609858 yrs)
- Last Updated
- Sep 27, 2021
Practice Information
- Address
-
411 E WILLIAM STDECATUR, IL, 625231140Browse IL providers · Browse ZIP 62523
- Phone
- 2175907433
- Fax
- 2176157176
- Primary Specialty
-
Driver
172A00000X
Other Driver Providers in DECATUR, IL
| Name | Credential | NPI |
|---|---|---|
| MRS. TESSA DRAKE | — | 1366186074 |
| PRESSIE PHILLIPS | — | 1255213658 |
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.