Individual provider · Type 1 NPI
Katrina Jackson
Driver · Milwaukee, WI
NPI number
1750255733
Active
Practice location
3944 N 11th St
Milwaukee, WI 53206-3058
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | J2505178870303 (WI) |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
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About NPI 1750255733
Katrina Jackson's National Provider Identifier is 1750255733, issued on Oct 2, 2025. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Milwaukee, WI. The record was last updated on Oct 2, 2025.