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DEMETRIS JACKSON
NPI 1699342287
Driver in Kenner, LA

Active since June 10, 2021
3406 E LOUISIANA STATE DR, KENNER, LA 70065(504) 380-2792 Get Directions Write a Review

NPPES record last updated: June 10, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Demetris Jackson NPPES

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

DEMETRIS JACKSON (NPI 1699342287) is an individual driver provider in Kenner, Louisiana and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1699342287
Entity TypeIndividualFemale
Primary Taxonomy172A00000X
Provider Legal NameDEMETRIS JACKSON
Location Address3406 E LOUISIANA STATE DRKenner, LA 70065-2524
Mailing Address3406 E Louisiana State DrKenner, LA 70065-2524 · (504) 380-2792
Phone(504) 380-2792
Sole ProprietorNo
Enumeration DateJune 10, 2021
NPPES CertifiedJune 10, 2021
✔ NPI 1699342287 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.
3406 E LOUISIANA STATE DR, Kenner, LA 70065
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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.

JUANITAS TRANSPORTATION LLC
Non-emergency Medical Transport (VAN)
3406 E LOUISIANA STATE DR
KENNER, LA 70065
Jefferson Parish (504) 380-2792

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 Demetris Jackson's NPI number?

The NPI number for Demetris Jackson is 1699342287. It was assigned to this individual provider in the NPPES registry on June 10, 2021.

Where is Demetris Jackson located?

Demetris Jackson practices at 3406 E Louisiana State Dr, Kenner, LA 70065. The listed phone number is (504) 380-2792.

What is Demetris 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 Demetris Jackson was last updated on June 10, 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.