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Mrs. Gertie Lou Jackson
Driver in Mount Olive, North Carolina
NPI 1952967408

Gertie Lou Jackson is a Driver based in Mount Olive, NC. Gertie Lou Jackson practices in Mount Olive, NC. The NPI Number for Gertie Lou Jackson is 1952967408 and holds a License No. (North Carolina).

The current practice location address for Gertie Lou Jackson is 315 Tram Rd, Mount Olive, NC and can be reached out via phone at 252-550-1150.

Location: 315 Tram Rd, Mount Olive, NC, 28365-6436
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952967408
Provider Name
Gertie Lou Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
315 Tram Rd, Mount Olive, NC, 28365-6436
Phone Number
252-550-1150
Fax Number
Provider Enumeration Date
05/09/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
05 05 NC
institution
Provider Business Practice Location Address Details
Address
315 Tram Rd
City
Mount Olive
State
North Carolina
Zip
28365-6436
Phone Number
252-550-1150
Fax Number
person
Provider Business Mailing Address Details
Address
315 Tram Rd
City
Mount Olive
State
North Carolina
Zip
28365-6436
Phone Number
252-550-1150
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
172A00000X
License No.
()
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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