Individual provider · Type 1 NPI

Ellen Kimberly Jackson

Non-emergency Medical Transport (VAN) · Riverdale, IL

NPI number 1730353400 Active

Practice location

14122 S Wabash Ave
Riverdale, IL 60827-2236

Fax (708) 880-0172

Specialties and licenses

TaxonomyCodeLicense
Non-emergency Medical Transport (VAN) Primary 343900000XNone 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 1730353400

Ellen Kimberly Jackson's National Provider Identifier is 1730353400, issued on Apr 14, 2008. The primary taxonomy on file is Non-emergency Medical Transport (VAN) (343900000X), and the practice location is in Riverdale, IL. The record was last updated on Apr 14, 2008.