Individual provider · Type 1 NPI
Demetris Jackson
Driver · Kenner, LA
NPI number
1699342287
Active
Practice location
3406 E Louisiana State Dr
Kenner, LA 70065-2524
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 Kenner
About NPI 1699342287
Demetris Jackson's National Provider Identifier is 1699342287, issued on Jun 10, 2021. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Kenner, LA. The record was last updated on Jun 10, 2021.