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DERRICK JACKSON
NPI 1962119867
Driver in Kansas City, KS

Active since October 31, 2022
11000 DELAWARE PKWY APT 2307, KANSAS CITY, KS 66109(913) 908-0397 Get Directions Write a Review

NPPES record last updated: November 1, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Derrick Jackson NPPES

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

DERRICK JACKSON (NPI 1962119867) is an individual driver provider in Kansas City, Kansas, licensed in Kansas (K02110954) and active in the NPI registry since October 2022.

NPPES Registry Identity

NPI1962119867
Entity TypeIndividualMale
Primary Taxonomy172A00000X
Provider Legal NameDERRICK JACKSON
Location Address11000 DELAWARE PKWY APT 2307Kansas City, KS 66109-3567
Mailing AddressPo Box 25562Kansas City, MO 64119-0862 · (913) 908-0397
Phone(913) 908-0397
Sole ProprietorNo
Enumeration DateOctober 31, 2022
Last NPPES UpdateNovember 1, 2022
NPPES CertifiedNovember 1, 2022
✔ NPI 1962119867 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDriverOther Service Providers
Taxonomy Code172A00000X
License✔ Licensed in KS · K02110954
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
11000 DELAWARE PKWY APT 2307, Kansas City, KS 66109
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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 Derrick Jackson's NPI number?

The NPI number for Derrick Jackson is 1962119867. It was assigned to this individual provider in the NPPES registry on October 31, 2022.

Where is Derrick Jackson located?

Derrick Jackson practices at 11000 Delaware Pkwy Apt 2307, Kansas City, KS 66109. The listed phone number is (913) 908-0397.

What is Derrick 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 Derrick Jackson was last updated on November 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.