NPI 1851903264

Irvin Charles Jackson

Practitioner Non-emergency Medical Transport (VAN) Shubuta, MS

Practice location

Address: 327 East Street, Shubuta, MS 39360
Phone: (601) 577-4018
Mailing address: PO Box 62, Shubuta, MS 39360-0062

Registered specialties (2)

Non-emergency Medical Transport (VAN) Primary

Transportation Services Taxonomy 343900000X

Other Non-emergency Medical Transport (VAN) providers in Mississippi →

Non-emergency Medical Transport (VAN)

Transportation Services Taxonomy 343900000X Licence 8006822128 (MS)

Registry record

NPI: 1851903264
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Aug 2020
Record last updated: 2 Sep 2020

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.