Individual provider · Type 1 NPI
Michael Jackson
Driver · Fishers, IN
NPI number
1639818735
Active
Practice location
10816 Washington Bay Dr
Fishers, IN 46037-9554
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | 2310019002 (IN) |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
Other driver providers in Fishers
About NPI 1639818735
Michael Jackson's National Provider Identifier is 1639818735, issued on May 27, 2022. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Fishers, IN. The record was last updated on Sep 25, 2025.