DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. KENNIE NICOLE JACKSON

Active

MS. KENNIE NICOLE JACKSON is a Driver healthcare provider located in INDIANAPOLIS, Indiana. NPI 1629380316 is currently active in the NPPES registry. Verify at CMS.

Driver · INDIANAPOLIS, IN

Registration Details

NPI Number
1629380316
Provider Type
Individual
Gender
Female
NPI Issued
Jul 9, 2010 (15.910311495517 yrs)
Last Updated
Aug 19, 2024
License
2400290281 (IN)

Practice Information

Address
315 PALMYRA DR
INDIANAPOLIS, IN, 462399170
Browse IN providers · Browse ZIP 46239
Phone
3179090320
Primary Specialty
Driver
172A00000X
Additional Specialty
Homemaker
Additional Specialty
Driver

Other Driver Providers in INDIANAPOLIS, IN

Name Credential NPI
APPAS AHMED 1558576637
MR. ALAN DEAN GLEGHORN TRANSPORTATION 1396954236
MR. ERNEST KIM BRYANT 1346483534
MR. MELVIN LOWELL STRINGER JR. 1912221615
MRS. STARR ANGELINE SONG 1710266770
MR. KAVIN DARNELL HUDSON 1538405501
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.