LASALLE JACKSON
NPI 1508331711
Driver in Port Gibson, MS
About Lasalle Jackson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LASALLE JACKSON (NPI 1508331711) is an individual driver provider in Port Gibson, Mississippi and active in the NPI registry since October 2018.
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 Lasalle Jackson's NPI number?
The NPI number for Lasalle Jackson is 1508331711. It was assigned to this individual provider in the NPPES registry on October 4, 2018.
Where is Lasalle Jackson located?
Lasalle Jackson practices at 606 Walnut St, Port Gibson, MS 39150. The listed phone number is (601) 529-0527.
What is Lasalle 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 Lasalle Jackson was last updated on October 4, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Lasalle Jackson · NPI 1508331711
Driver provider in Port Gibson, Mississippi. Individual provider, active in the CMS NPPES registry since October 4, 2018.
## Identity
- **NPI:** 1508331711 (Entity type: Individual)
- **Enumerated:** October 4, 2018
- **Primary specialty:** Driver · taxonomy 172A00000X
- **Sole proprietor:** No
## Practice location
- **Address:** 606 WALNUT ST, Port Gibson, MS 39150-2140
- **Phone:** (601) 529-0527
## Record status
- **NPPES last updated:** October 4, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1508331711) · Data from the CMS NPPES public registry.