Derrick Jackson
Derrick Jackson is a Driver in Kansas City, Kansas. Licensed in Kansas. Registered with an NPI since 2022.
- Licensed in
- KS
- In the registry since
- 2022
Practice location Address checks out
11000 Delaware Pkwy Apt 2307Kansas City, KS 66109-3567
Phone: (913) 908-0397
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Driver (primary) | Taxonomy 172A00000X · Licence K02110954 (KS) |
|---|
Record details
| NPI number | 1962119867 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | October 31, 2022 |
| Last updated in NPPES | November 1, 2022 |
| Certification date | November 1, 2022 |
| Mailing address | Po Box 25562, Kansas City, MO 64119-0862 |
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