Malinda M Jackson
Malinda M Jackson is a Driver in Decatur, Illinois. Licensed in Illinois. Registered with an NPI since 2021.
- Licensed in
- IL
- In the registry since
- 2021
Practice location Address checks out
411 E William StDecatur, IL 62523-1140
Phone: (217) 590-7433
Fax: (217) 615-7176
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Driver (primary) | Taxonomy 172A00000X (IL) |
|---|
Record details
| NPI number | 1619648839 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | September 27, 2021 |
| Last updated in NPPES | September 27, 2021 |
| Certification date | September 27, 2021 |
| Mailing address | 411 E William St, Decatur, IL 62523-1140 |
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