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

Lavar Jackson

Individual provider Transportation Broker · NPI 1053914754

Lavar Jackson is a Transportation Broker in Madison, Mississippi. Practices as a sole proprietor. Registered with an NPI since 2020.

In the registry since
2020
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Practice location Address checks out

820 Annandale Rd
Madison, MS 39110-7827
Phone: (504) 250-1316
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Transportation Broker (primary) Taxonomy 347E00000X

Record details

NPI number1053914754
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 17, 2020
Last updated in NPPESNovember 17, 2020
Certification dateNovember 17, 2020
Mailing address820 Annandale Rd, Madison, MS 39110-7827