Individual provider · Type 1 NPI
Michael Jackson
Driver · Byram, MS
NPI number
1104428473
Active
Practice location
252 Charlene Dr
Byram, MS 39272-6418
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | 800105022 (MS) |
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 Byram
About NPI 1104428473
Michael Jackson's National Provider Identifier is 1104428473, issued on Nov 12, 2020. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Byram, MS. The record was last updated on Nov 12, 2020.