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MALINDA M JACKSON
NPI 1619648839
Driver in Decatur, IL

Active since September 27, 2021
411 E WILLIAM ST, DECATUR, IL 62523(217) 590-7433(217) 615-7176 Get Directions Write a Review

NPPES record last updated: September 27, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Malinda M Jackson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MALINDA M JACKSON (NPI 1619648839) is an individual driver provider in Decatur, Illinois and active in the NPI registry since September 2021.

NPPES Registry Identity

NPI1619648839
Entity TypeIndividualFemale
Primary Taxonomy172A00000X
Provider Legal NameMALINDA M JACKSON
Location Address411 E WILLIAM STDecatur, IL 62523-1140
Mailing Address411 E William StDecatur, IL 62523-1140 · (217) 590-7433 · Fax (217) 615-7176
Phone(217) 590-7433
Fax(217) 615-7176
Sole ProprietorNo
Enumeration DateSeptember 27, 2021
NPPES CertifiedSeptember 27, 2021
✔ NPI 1619648839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDriverOther Service Providers
Taxonomy Code172A00000X
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
411 E WILLIAM ST, Decatur, IL 62523
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DECATUR CITY TAXI & DELIVERY INC
Taxi
411 E WILLIAM ST
DECATUR, IL 62523
Macon County (217) 330-7960

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 1619648839. It was assigned to this individual provider in the NPPES registry on September 27, 2021.

Where is Malinda Jackson located?

Malinda Jackson practices at 411 E William St, Decatur, IL 62523. The listed phone number is (217) 590-7433.

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 September 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.