Individual provider · Type 1 NPI

Shamika Jackson

Driver · Aurora, IL

NPI number 1265100879 Active

Practice location

2213 Cheshire Dr
Aurora, IL 60502-6938

Specialties and licenses

TaxonomyCodeLicense
Driver Primary 172A00000XNone listed

Driver: A person employed to operate a motor vehicle as a carrier of persons or property.

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About NPI 1265100879

Shamika Jackson's National Provider Identifier is 1265100879, issued on Aug 31, 2021. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Aurora, IL. The record was last updated on Aug 31, 2021.