BILLY JEROME JACKSON
NPI 1487242400
Driver in Dayton, OH
About Billy Jerome Jackson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BILLY JEROME JACKSON (NPI 1487242400) is an individual driver provider in Dayton, Ohio, licensed in Ohio (RQ788849) and active in the NPI registry since January 2021.
NPPES Registry Identity
Specialties & Licenses 3
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 Billy Jackson's NPI number?
The NPI number for Billy Jackson is 1487242400. It was assigned to this individual provider in the NPPES registry on January 5, 2021.
Where is Billy Jackson located?
Billy Jackson practices at 3225 Amanda Dr, Dayton, OH 45406. The listed phone number is (937) 789-6646.
What is Billy 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 Billy Jackson was last updated on January 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.
# Billy Jerome Jackson · NPI 1487242400
Driver provider in Dayton, Ohio. Individual provider, active in the CMS NPPES registry since January 5, 2021.
## Identity
- **NPI:** 1487242400 (Entity type: Individual)
- **Enumerated:** January 5, 2021
- **Primary specialty:** Driver · taxonomy 172A00000X
- **State license:** RQ788849 (Ohio)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3225 AMANDA DR, Dayton, OH 45406-1102
- **Phone:** (937) 789-6646
## Record status
- **NPPES last updated:** January 5, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1487242400) · Data from the CMS NPPES public registry.