Individual provider · Type 1 NPI
Malinda M. Jackson
Driver · Decatur, IL
NPI number
1619648839
Active
Practice location
411 E William St
Decatur, IL 62523-1140
Fax (217) 615-7176
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | None listed |
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 Decatur
About NPI 1619648839
Malinda M. Jackson's National Provider Identifier is 1619648839, issued on Sep 27, 2021. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Decatur, IL. The record was last updated on Sep 27, 2021.