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

Michael Jackson

Individual provider Driver · NPI 1639818735

Michael Jackson is a Driver in Fishers, Indiana. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2022
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Practice location Address checks out

10816 Washington Bay Dr
Fishers, IN 46037-9554
Phone: (317) 801-0551
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Driver (primary) Taxonomy 172A00000X · Licence 2310019002 (IN)

Record details

NPI number1639818735
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 27, 2022
Last updated in NPPESSeptember 25, 2025
Certification dateSeptember 25, 2025
Mailing address10816 Washington Bay Dr, Fishers, IN 46037-9554

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