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Stacy Jackson
Non-emergency Medical Transport (VAN) in Indianola, Mississippi
NPI 1922533827

Stacy Jackson is a Non-emergency Medical Transport (VAN) based in Indianola, MS. Stacy Jackson practices in Indianola, MS. The NPI Number for Stacy Jackson is 1922533827 and holds a License No. (Mississippi).

The current practice location address for Stacy Jackson is 201 Wiggins Rd Apt 13, Indianola, MS and can be reached out via phone at 662-303-6959.

Location: 201 Wiggins Rd Apt 13, Indianola, MS, 38751-3478
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922533827
Provider Name
Stacy Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
201 Wiggins Rd Apt 13, Indianola, MS, 38751-3478
Phone Number
662-303-6959
Fax Number
Provider Enumeration Date
04/28/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
201 Wiggins Rd Apt 13
City
Indianola
State
Mississippi
Zip
38751-3478
Phone Number
662-303-6959
Fax Number
person
Provider Business Mailing Address Details
Address
201 Wiggins Rd Apt 13
City
Indianola
State
Mississippi
Zip
38751-3478
Phone Number
662-303-6959
Fax Number
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Non-emergency Medical Transport (VAN)
Speciality
-
Taxonomy
343900000X
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.
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