Individual provider · Type 1 NPI
Byron Reynard Jackson Sr.
Driver · Amite, LA
NPI number
1982304887
Active
Practice location
661 Sawmill Rd
Amite, LA 70422-6630
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | 005750531 (LA) |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
Other driver providers in Amite
About NPI 1982304887
Byron Reynard Jackson Sr.'s National Provider Identifier is 1982304887, issued on Mar 8, 2023. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Amite, LA. The record was last updated on Mar 8, 2023.