Individual provider · Type 1 NPI
Pamela Kenna Jackson
Driver · Union, NJ
NPI number
1013482439
Active
Practice location
1496 Village Rd Apt A
Union, NJ 07083-4461
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | J00626147258862 (NJ) |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
Another provider at this address
Other driver providers in Union
About NPI 1013482439
Pamela Kenna Jackson's National Provider Identifier is 1013482439, issued on Oct 12, 2018. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Union, NJ. The record was last updated on Jan 9, 2024.