Individual provider · Type 1 NPI

Gerard Jackson, OWNER

Driver · Baton Rouge, LA

NPI number 1306546874 Active

Practice location

3173 Washington Ave
Baton Rouge, LA 70802-2178

Call (225) 614-8960 Map

Fax (225) 341-6825

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 1306546874

Gerard Jackson, OWNER's National Provider Identifier is 1306546874, issued on Mar 3, 2023. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Baton Rouge, LA. The record was last updated on Mar 3, 2023.