MATTHEW JACKSON
NPI 1932558210
Driver in Lafayette, LA

Active since June 08, 2016
3121 JOHNSTON ST APT 142, LAFAYETTE, LA 70503(337) 201-2365(337) 419-0513 Get Directions Write a Review

NPPES record last updated: June 8, 2016. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Matthew Jackson NPPES

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

MATTHEW JACKSON (NPI 1932558210) is an individual driver provider in Lafayette, Louisiana, licensed in Louisiana (010460855) and active in the NPI registry since June 2016.

NPPES Registry Identity

NPI1932558210
Entity TypeIndividualMale
Primary Taxonomy172A00000X
Provider Legal NameMATTHEW JACKSON
Location Address3121 JOHNSTON ST APT 142Lafayette, LA 70503-3760
Mailing Address3121 Johnston St Apt 142Lafayette, LA 70503-3760
Fax(337) 419-0513
Sole ProprietorYes
Enumeration DateJune 8, 2016
NPI 1932558210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDriverOther Service Providers
Taxonomy Code172A00000X
License Licensed in LA · 010460855
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
3121 JOHNSTON ST APT 142, Lafayette, LA 70503

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 Matthew Jackson's NPI number?

The NPI number for Matthew Jackson is 1932558210. It was assigned to this individual provider in the NPPES registry on June 8, 2016.

Where is Matthew Jackson located?

Matthew Jackson practices at 3121 Johnston St Apt 142, Lafayette, LA 70503. The listed phone number is (337) 201-2365.

What is Matthew 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 Matthew Jackson was last updated on June 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.