Individual provider · Type 1 NPI
Kevontae Jackson
Driver · New Orleans, LA
NPI number
1942031166
Active
Practice location
1820 Music St
New Orleans, LA 70117-8104
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.
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About NPI 1942031166
Kevontae Jackson's National Provider Identifier is 1942031166, issued on Aug 9, 2024. The primary taxonomy on file is Driver (172A00000X), and the practice location is in New Orleans, LA. The record was last updated on Aug 9, 2024.