Individual provider · Type 1 NPI
Gertie Lou Jackson
Driver · Mount Olive, NC
NPI number
1952967408
Active
Practice location
315 Tram Rd
Mount Olive, NC 28365-6436
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.
About NPI 1952967408
Gertie Lou Jackson's National Provider Identifier is 1952967408, issued on May 9, 2019. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Mount Olive, NC. The record was last updated on May 9, 2019.