MS. KENNIE JACKSON
Driver
Active
Individual
NPI: 1629380316
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Adult Companion | 372600000X | No | - |
| Homemaker | 376J00000X | No | - |
| Driver | 172A00000X | Yes | 2400290281 (IN) |
Frequently Asked Questions
NPI 1629380316 is the National Provider Identifier for MS. KENNIE JACKSON, a Driver provider located in Indianapolis, IN. This NPI was enumerated on July 9, 2010.
MS. KENNIE JACKSON practices at 315 PALMYRA DR, Indianapolis, IN 46239.
Quick Facts
- NPI
- 1629380316
- Type
- Individual
- Enumerated
- Jul 9, 2010
- Last Updated
- Aug 19, 2024
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