MALINDA JACKSON
NPI 1366250037
Driver in Fayetteville, GA

Active since December 26, 2024
180 FARM LN, FAYETTEVILLE, GA 30214(706) 231-0308 Get Directions Write a Review

NPPES record last updated: December 26, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Driver

About MALINDA JACKSON

This page provides the complete NPI Profile along with additional information for Malinda Jackson, a provider established in Fayetteville, Georgia with a medical specialization in Driver. The healthcare provider is registered in the NPI registry with number 1366250037 assigned on December 2024. The practitioner's primary taxonomy code is 172A00000X. The provider is registered as an individual and her NPI record was last updated 2 years ago.

NPI
1366250037 Verify this NPI
Provider Name
MALINDA JACKSON
Gender
Female
Entity Type
Individual
Location Address
180 FARM LN FAYETTEVILLE, GA 30214
Location Phone
(706) 231-0308
Mailing Address
180 FARM LN FAYETTEVILLE, GA 30214
Mailing Phone
(706) 231-0308
Is Sole Proprietor?
No
Enumeration Date
12-26-2024
Last Update Date
12-26-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Driver

Taxonomy Code
172A00000X
Type
Other Service Providers
Taxonomy Description
A person employed to operate a motor vehicle as a carrier of persons or property.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366250037, enumerated as an "individual" on December 26, 2024.

The provider is located at 180 FARM LN FAYETTEVILLE, GA 30214 and the phone number is (706) 231-0308.

Driver with taxonomy code 172A00000X.