NPI 1639818735
Michael Jackson
Practice location
- Address
- 10816 Washington Bay Dr, Fishers, IN 46037-9554
- Phone
- (317) 801-0551
Registered specialties
Driver
Primary
Registry record
- NPI
- 1639818735
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 27 May 2022
- Record last updated
- 25 Sep 2025
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.