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Dercilla Jackson
Driver in Amherst, Virginia
NPI 1558843284

Dercilla Jackson is a Driver based in Amherst, VA. Dercilla Jackson practices in Amherst, VA. The NPI Number for Dercilla Jackson is 1558843284 and holds a License No. T60456749 (Virginia).

The current practice location address for Dercilla Jackson is 163 Aubreys Ln, Amherst, VA and can be reached out via phone at 434-826-9138. You can also correspond with Dercilla Jackson through the mailing address at 163 AUBREYS LN, AMHERST, VA - 24521-3394 (mailing address contact number: 434-826-9138).

Location: 163 Aubreys Ln, Amherst, VA, 24521-3394
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558843284
Provider Name
Dercilla Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
163 Aubreys Ln, Amherst, VA, 24521-3394
Phone Number
434-826-9138
Fax Number
Provider Enumeration Date
08/29/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
163 Aubreys Ln
City
Amherst
State
Virginia
Zip
24521-3394
Phone Number
434-826-9138
Fax Number
person
Provider Business Mailing Address Details
Address
163 Aubreys Ln
City
Amherst
State
Virginia
Zip
24521-3394
Phone Number
434-826-9138
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
172A00000X
License No.
T60456749 (Virginia)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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