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

Mr. Lyric Jackson

Individual provider Driver · NPI 1972948297

Mr. Lyric Jackson is a Driver in Rio Rancho, New Mexico. Licensed in New Mexico. Registered with an NPI since 2013.

Licensed in
NM
In the registry since
2013
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Practice location Address checks out

3513 Plano Vis NE
Rio Rancho, NM 87124
Phone: (505) 433-7039
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Driver (primary) Taxonomy 172A00000X · Licence 107737260 (NM)

Record details

NPI number1972948297
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 30, 2013
Last updated in NPPESApril 30, 2013
Mailing address3513 Plano Vista Rd Ne, Rio Rancho, NM 87124-4183

Other providers in Rio Rancho