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

Malinda Jackson

Individual provider Driver · NPI 1366250037

Malinda Jackson is a Driver in Fayetteville, Georgia. Registered with an NPI since 2024.

In the registry since
2024
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Practice location Address checks out

180 Farm Ln
Fayetteville, GA 30214-3135
Phone: (706) 231-0308
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Driver (primary) Taxonomy 172A00000X

Record details

NPI number1366250037
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 26, 2024
Last updated in NPPESDecember 26, 2024
Certification dateDecember 26, 2024
Mailing address180 Farm Ln, Fayetteville, GA 30214-3135

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