Individual provider · Type 1 NPI

Angeletta Marie Jackson

Driver · Euclid, OH

NPI number 1871451997 Active

Practice location

1490 E 193rd St Apt 641
Euclid, OH 44117-1351

Call (216) 544-2983 Map

Specialties and licenses

TaxonomyCodeLicense
Driver Primary 172A00000XRK999348 (OH)

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

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About NPI 1871451997

Angeletta Marie Jackson's National Provider Identifier is 1871451997, issued on Jan 15, 2026. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Euclid, OH. The record was last updated on Jan 15, 2026.