Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK JACKSON
Active Sole ProprietorMARK JACKSON is a Driver healthcare provider located in RHOADESVILLE, Virginia. NPI 1811409535 is currently active in the NPPES registry. Verify at CMS.
Driver · RHOADESVILLE, VA
Registration Details
- NPI Number
- 1811409535
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 3, 2017 (8.5967154686886 yrs)
- Last Updated
- Nov 3, 2017
- Sole Proprietor
- Yes
Practice Information
- Address
-
26048 PINE TREE RDRHOADESVILLE, VA, 225428549Browse VA providers · Browse ZIP 22542
- Phone
- 5402196889
- Primary Specialty
-
Driver
172A00000X
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.