Individual provider · Type 1 NPI
Karen Jackson
Non-emergency Medical Transport (VAN) · Springfield, IL
NPI number
1457923633
Active
Practice location
2501 Chatham Rd Ste N
Springfield, IL 62704-4188
Mailing address
PO Box 1732
Bolingbrook, IL 60440-7400
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver | 172A00000X | None listed |
| Chore Provider | 372500000X | None listed |
| Non-emergency Medical Transport (VAN) Primary | 343900000X | None listed |
Non-emergency Medical Transport (VAN): A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.
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About NPI 1457923633
Karen Jackson's National Provider Identifier is 1457923633, issued on Jul 15, 2021. The primary taxonomy on file is Non-emergency Medical Transport (VAN) (343900000X), and the practice location is in Springfield, IL. The record was last updated on Jul 15, 2021.