Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Irvin Charles Jackson

Individual provider Non-emergency Medical Transport (VAN) · NPI 1851903264

Irvin Charles Jackson is a Non-emergency Medical Transport (VAN) in Shubuta, Mississippi. Practices as a sole proprietor. Licensed in Mississippi.

Licensed in
MS
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

327 E St
Shubuta, MS 39360
Phone: (601) 577-4018
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Non-emergency Medical Transport (VAN) (primary) Taxonomy 343900000X
Non-emergency Medical Transport (VAN) Taxonomy 343900000X · Licence 8006822128 (MS)

Record details

NPI number1851903264
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 18, 2020
Last updated in NPPESSeptember 2, 2020
Certification dateAugust 25, 2020
Mailing addressPo Box 62, Shubuta, MS 39360-0062

Other providers in Shubuta