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

Lasalle Jackson

Individual provider Driver · NPI 1508331711

Lasalle Jackson is a Driver in Port Gibson, Mississippi. Licensed in Mississippi. Registered with an NPI since 2018.

Licensed in
MS
In the registry since
2018
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Practice location Address checks out

606 Walnut St
Port Gibson, MS 39150-2140
Phone: (601) 529-0527
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Driver (primary) Taxonomy 172A00000X (MS)

Record details

NPI number1508331711
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 4, 2018
Last updated in NPPESOctober 4, 2018
Mailing address606 Walnut St, Port Gibson, MS 39150-2140

Other providers in Port Gibson