Karen Jackson

NPI #1457923633 in Springfield, Illinois

Provider Information

NPI Number: 1457923633
Entity Type: Individual
Name: Karen Jackson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Non-emergency Medical Transport (VAN)
Enumeration Date: Jul 15, 2021
Last Updated: Jul 15, 2021

Practice Location

Address: 2501 CHATHAM RD STE N
City: Springfield
State: Illinois
ZIP Code: 62704-4188
Phone: (630) 270-9882

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Driver	172A00000X
Chore Provider	372500000X
Non-emergency Medical Transport (VAN)	343900000X	Primary

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