Individual provider · Type 1 NPI

Desyre Kimberly Jackson

Driver · Hampton, VA

NPI number 1790301281 Active

Practice location

734 Pocahontas Pl
Hampton, VA 23661-2434

Call (757) 975-3813 Map

Specialties and licenses

TaxonomyCodeLicense
Driver Primary 172A00000XNone listed

Driver: A person employed to operate a motor vehicle as a carrier of persons or property.

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About NPI 1790301281

Desyre Kimberly Jackson's National Provider Identifier is 1790301281, issued on Jun 19, 2020. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Hampton, VA. The record was last updated on Jun 19, 2020.