KEVONTAE JACKSON
NPI 1942031166
Driver in New Orleans, LA
About Kevontae Jackson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KEVONTAE JACKSON (NPI 1942031166) is an individual driver provider in New Orleans, Louisiana and active in the NPI registry since August 2024.
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 Kevontae Jackson's NPI number?
The NPI number for Kevontae Jackson is 1942031166. It was assigned to this individual provider in the NPPES registry on August 9, 2024.
Where is Kevontae Jackson located?
Kevontae Jackson practices at 1820 Music St, New Orleans, LA 70117. The listed phone number is (504) 432-7754.
What is Kevontae 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 Kevontae Jackson was last updated on August 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.
# Kevontae Jackson · NPI 1942031166
Driver provider in New Orleans, Louisiana. Individual provider, active in the CMS NPPES registry since August 9, 2024.
## Identity
- **NPI:** 1942031166 (Entity type: Individual)
- **Enumerated:** August 9, 2024
- **Primary specialty:** Driver · taxonomy 172A00000X
- **Sole proprietor:** No
## Practice location
- **Address:** 1820 MUSIC ST, New Orleans, LA 70117-8104
- **Phone:** (504) 432-7754
## Record status
- **NPPES last updated:** August 9, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1942031166) · Data from the CMS NPPES public registry.