person
Gerard Jackson, OWNER
Driver in Baton Rouge, Louisiana
NPI 1306546874

Gerard Jackson is a Driver based in Baton Rouge, LA. Gerard Jackson practices in Baton Rouge, LA and has the professional credentials of OWNER. The NPI Number for Gerard Jackson is 1306546874 and holds a License No. (Louisiana).

The current practice location address for Gerard Jackson is 3173 Washington Ave, Baton Rouge, LA and can be reached out via phone at 225-614-8960 and via fax at 225-341-6825.

Location: 3173 Washington Ave, Baton Rouge, LA, 70802-2178
person
Provider Profile Details
NPI Number
1306546874
Provider Name
Gerard Jackson
Credential
OWNER
Provider Entity Type
Individual
Gender
Male
Address
3173 Washington Ave, Baton Rouge, LA, 70802-2178
Phone Number
225-614-8960
Fax Number
225-341-6825
Provider Enumeration Date
03/03/2023
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5399927 05 LA
institution
Provider Business Practice Location Address Details
Address
3173 Washington Ave
City
State
Zip
70802-2178
Phone Number
225-614-8960
Fax Number
225-341-6825
person
Provider Business Mailing Address Details
Address
3173 Washington Ave
City
State
Zip
70802-2178
Phone Number
225-614-8960
Fax Number
225-341-6825
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
License No.
()
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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