LASALLE JACKSON
NPI 1508331711
Driver in Port Gibson, MS
- Individual
- Male
- Driver
About LASALLE JACKSON
This page provides the complete NPI Profile along with additional information for Lasalle Jackson, a provider established in Port Gibson, Mississippi with a medical specialization in Driver. The healthcare provider is registered in the NPI registry with number 1508331711 assigned on October 2018. The practitioner's primary taxonomy code is 172A00000X. The provider is registered as an individual and his NPI record was last updated 8 years ago.
- NPI
- 1508331711 Verify this NPI
- Provider Name
- LASALLE JACKSON
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 606 WALNUT ST PORT GIBSON, MS 39150
- Location Phone
- (601) 529-0527
- Mailing Address
- 606 WALNUT ST PORT GIBSON, MS 39150
- Mailing Phone
- (601) 529-0527
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-04-2018
- Last Update Date
- 10-04-2018
- Code Navigator
Location Map
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
- License State
- MS
- 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 1508331711, enumerated as an "individual" on October 04, 2018.
The provider is located at 606 WALNUT ST PORT GIBSON, MS 39150 and the phone number is (601) 529-0527.
Driver with taxonomy code 172A00000X.
