MRS. GERTIE LOU JACKSON
NPI 1952967408
Driver in Mount Olive, NC
About Mrs. Gertie Lou Jackson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. GERTIE LOU JACKSON (NPI 1952967408) is an individual driver provider in Mount Olive, North Carolina and active in the NPI registry since May 2019.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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 Gertie Jackson's NPI number?
The NPI number for Gertie Jackson is 1952967408. It was assigned to this individual provider in the NPPES registry on May 9, 2019.
Where is Gertie Jackson located?
Gertie Jackson practices at 315 Tram Rd, Mount Olive, NC 28365. The listed phone number is (252) 550-1150.
What is Gertie 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 Gertie Jackson was last updated on May 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Mrs. Gertie Lou Jackson · NPI 1952967408
Driver provider in Mount Olive, North Carolina. Individual provider, active in the CMS NPPES registry since May 9, 2019.
## Identity
- **NPI:** 1952967408 (Entity type: Individual)
- **Enumerated:** May 9, 2019
- **Primary specialty:** Driver · taxonomy 172A00000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 315 TRAM RD, Mount Olive, NC 28365-6436
- **Phone:** (252) 550-1150
## Record status
- **NPPES last updated:** May 9, 2019
- **Other identifiers:** Medicaid 05 (NC)
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Source: [NPI Profile](https://npiprofile.com/npi/1952967408) · Data from the CMS NPPES public registry.