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

Jake Charlie

Individual provider Driver · NPI 1851691638

Jake Charlie is a Driver in Tuba City, Arizona. Licensed in Arizona. Registered with an NPI since 2010.

Licensed in
AZ
In the registry since
2010
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Practice location Address checks out

167 N Main St
Tuba City, AZ 86045-0600
Phone: (928) 283-2501
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Driver (primary) Taxonomy 172A00000X · Licence CNA999953632 (AZ)

Record details

NPI number1851691638
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 27, 2010
Last updated in NPPESOctober 27, 2010
Mailing addressPo Box 600, Tuba City, AZ 86045-0600

Other providers in Tuba City