Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DERRICK JACKSON
ActiveDERRICK JACKSON is a Driver healthcare provider located in KANSAS CITY, Kansas. NPI 1962119867 is currently active in the NPPES registry. Verify at CMS.
Driver · KANSAS CITY, KS
Registration Details
- NPI Number
- 1962119867
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 31, 2022 (3.759215724866 yrs)
- Last Updated
- Nov 1, 2022
- License
-
K02110954 (KS)
Practice Information
- Address
-
11000 DELAWARE PKWY APT 2307KANSAS CITY, KS, 661093567Browse KS providers · Browse ZIP 66109
- Phone
- 9139080397
- Primary Specialty
-
Driver
172A00000X
Other Driver Providers in KANSAS CITY, KS
| Name | Credential | NPI |
|---|---|---|
| MR. TONY KARIUKI | RN | 1548398753 |
| WILFORD GRANT | — | 1427485051 |
| ANTHONY JAMISON | — | 1881189454 |
| MOHAMED HUSSEIN | — | 1134966955 |
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.