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.
Location: 163 Aubreys Ln, Amherst, VA, 24521-3394
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
Provider Business Practice Location Address Details
Address
163 Aubreys Ln
City
State
Zip
24521-3394
Phone Number
434-826-9138
Fax Number
Provider Business Mailing Address Details
Address
163 Aubreys Ln
City
State
Zip
24521-3394
Phone Number
434-826-9138
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
License No.
T60456749 (Virginia)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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