Ricky Jackson is a Private Vehicle based in Memphis, TN. Ricky Jackson practices in Memphis, TN. The NPI Number for Ricky Jackson is 1164161030 and holds a License No. (Tennessee).
The current practice location address for Ricky Jackson is 7443 Keynon Cv, Memphis, TN and can be reached out via phone at 919-559-4876.
Location: 7443 Keynon Cv, Memphis, TN, 38125-8011
Provider Profile Details
NPI Number
1164161030
Provider Name
Ricky Jackson
Credential
Provider Entity Type
Individual
Gender
Male
Address
7443 Keynon Cv, Memphis, TN, 38125-8011
Phone Number
919-559-4876
Fax Number
Provider Enumeration Date
05/31/2022
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
7443 Keynon Cv
City
State
Zip
38125-2737
Phone Number
919-559-4876
Fax Number
Provider Business Mailing Address Details
Address
7443 Keynon Cv
City
State
Zip
38125-2737
Phone Number
919-559-4876
Fax Number
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Non-emergency Medical Transport (VAN)
Speciality
-
Taxonomy
License No.
()
Definition
A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.
Provider's Taxonomy Details 2
Type
Transportation Services
Classification
Private Vehicle
Speciality
-
Taxonomy
License No.
()
Definition
An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
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