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

MATTHEW JACKSON

Active Sole Proprietor

MATTHEW JACKSON is a Driver healthcare provider located in LAFAYETTE, Louisiana. NPI 1932558210 is currently active in the NPPES registry. Verify at CMS.

Driver · LAFAYETTE, LA

Registration Details

NPI Number
1932558210
Provider Type
Individual
Gender
Male
NPI Issued
Jun 8, 2016 (10.14831201561 yrs)
Last Updated
Jun 8, 2016
License
010460855 (LA)
Sole Proprietor
Yes

Practice Information

Address
3121 JOHNSTON ST APT 142
LAFAYETTE, LA, 705033760
Browse LA providers · Browse ZIP 70503
Phone
3372012365
Fax
3374190513
Primary Specialty
Driver
172A00000X

Other Driver Providers in LAFAYETTE, LA

Name Credential NPI
SAHAR ZEIDAN IX 1831545672
SOPHELIA FELTON 1265944243
RAME ABUSSADA 1063976215
MR. EMILE J CROUCHET 1194280404
LAWRENCE EDWIN JOSEPH 1891358768
JASMINE NICOLE ELAIRE 1114511334
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.