MALINDA JACKSON
NPI 1366250037
Driver in Fayetteville, GA
About Malinda Jackson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MALINDA JACKSON (NPI 1366250037) is an individual driver provider in Fayetteville, Georgia and active in the NPI registry since December 2024.
NPPES Registry Identity
Specialties & Licenses
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Malinda Jackson's NPI number?
The NPI number for Malinda Jackson is 1366250037. It was assigned to this individual provider in the NPPES registry on December 26, 2024.
Where is Malinda Jackson located?
Malinda Jackson practices at 180 Farm Ln, Fayetteville, GA 30214. The listed phone number is (706) 231-0308.
What is Malinda Jackson's specialty?
The primary specialty registered for this NPI is Driver with taxonomy code 172A00000X.
When was this NPI record last updated?
The NPPES record for Malinda Jackson was last updated on December 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Malinda Jackson · NPI 1366250037
Driver provider in Fayetteville, Georgia. Individual provider, active in the CMS NPPES registry since December 26, 2024.
## Identity
- **NPI:** 1366250037 (Entity type: Individual)
- **Enumerated:** December 26, 2024
- **Primary specialty:** Driver · taxonomy 172A00000X
- **Sole proprietor:** No
## Practice location
- **Address:** 180 FARM LN, Fayetteville, GA 30214-3135
- **Phone:** (706) 231-0308
## Record status
- **NPPES last updated:** December 26, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1366250037) · Data from the CMS NPPES public registry.