NPI 1164161030
Ricky Jackson
Practice location
- Address
- 7443 Keynon Cv, Memphis, TN 38125-2737
- Phone
- (919) 559-4876
- Mailing address
- PO Box 25854, Memphis, TN 38125-8011
Registered specialties (2)
Private Vehicle
Primary
Non-emergency Medical Transport (VAN)
Registry record
- NPI
- 1164161030
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 31 May 2022
- Record last updated
- 31 May 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.