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

MICHAEL JACKSON

Active Sole Proprietor

MICHAEL JACKSON is a Driver healthcare provider located in FISHERS, Indiana. NPI 1639818735 is currently active in the NPPES registry. Verify at CMS.

Driver · FISHERS, IN

Registration Details

NPI Number
1639818735
Provider Type
Individual
Gender
Male
NPI Issued
May 27, 2022 (4.1896685164079 yrs)
Last Updated
Sep 25, 2025
License
2310019002 (IN)
Sole Proprietor
Yes

Practice Information

Address
10816 WASHINGTON BAY DR
FISHERS, IN, 460379554
Browse IN providers · Browse ZIP 46037
Phone
3178010551
Primary Specialty
Driver
172A00000X

Other Driver Providers in FISHERS, IN

Name Credential NPI
ALYSSA J CORRETHERS 1043833254
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.