DESYRE KIMBERLY JACKSON
NPI 1790301281
Driver in Hampton, VA
About Desyre Kimberly Jackson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DESYRE KIMBERLY JACKSON (NPI 1790301281) is an individual driver provider in Hampton, Virginia and active in the NPI registry since June 2020.
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 Desyre Jackson's NPI number?
The NPI number for Desyre Jackson is 1790301281. It was assigned to this individual provider in the NPPES registry on June 19, 2020.
Where is Desyre Jackson located?
Desyre Jackson practices at 734 Pocahontas Pl, Hampton, VA 23661. The listed phone number is (757) 975-3813.
What is Desyre 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 Desyre Jackson was last updated on June 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Desyre Kimberly Jackson · NPI 1790301281
Driver provider in Hampton, Virginia. Individual provider, active in the CMS NPPES registry since June 19, 2020.
## Identity
- **NPI:** 1790301281 (Entity type: Individual)
- **Enumerated:** June 19, 2020
- **Primary specialty:** Driver · taxonomy 172A00000X
- **Sole proprietor:** No
## Practice location
- **Address:** 734 POCAHONTAS PL, Hampton, VA 23661-2434
- **Phone:** (757) 975-3813
## Record status
- **NPPES last updated:** June 19, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1790301281) · Data from the CMS NPPES public registry.