MR. RUSSELL JACKSON
NPI 1619720935
Transportation Network Company in Jacksonville, FL

Active since April 08, 2024
2433 ADAMS LAKE BLVD, JACKSONVILLE, FL 32221(318) 404-9501 Get Directions Write a Review

NPPES record last updated: April 8, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Russell Jackson NPPES

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

MR. RUSSELL JACKSON (NPI 1619720935) is an individual transportation network company provider in Jacksonville, Florida, licensed in Florida (J2507244020) and active in the NPI registry since April 2024.

NPPES Registry Identity

NPI1619720935
Entity TypeIndividualMale
Primary Taxonomy342000000X
Provider Legal NameMR. RUSSELL JACKSON
Location Address2433 ADAMS LAKE BLVDJacksonville, FL 32221-2832
Mailing Address2433 Adams Lake BlvdJacksonville, FL 32221-2832 · (318) 404-9501
Sole ProprietorYes
Enumeration DateApril 8, 2024
NPPES CertifiedApril 8, 2024
NPI 1619720935 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyTransportation Network CompanyTransportation Services
Taxonomy Code342000000X
License Licensed in FL · J2507244020
Definition
A ride-sharing company that provides prearranged or contracted non-emergency medical transportation services to patients through mobile or online technology.
2433 ADAMS LAKE BLVD, Jacksonville, FL 32221

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 Russell Jackson's NPI number?

The NPI number for Russell Jackson is 1619720935. It was assigned to this individual provider in the NPPES registry on April 8, 2024.

Where is Russell Jackson located?

Russell Jackson practices at 2433 Adams Lake Blvd, Jacksonville, FL 32221. The listed phone number is (318) 404-9501.

What is Russell Jackson's specialty?

The primary specialty registered for this NPI is Transportation Network Company with taxonomy code 342000000X.

When was this NPI record last updated?

The NPPES record for Russell Jackson was last updated on April 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.