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NPI 1013482439

IndividualActive

Pamela Jackson

NPI 1013482439 · Driver · Union, NJ

Provider details

NPI number: 1013482439
Entity type: Individual
Primary specialty: DriverOther Service Providers
Sex: Female
Sole proprietor: Yes
License: J00626147258862 (NJ)

Practice location

1496 Village Rd Apt a

Union, NJ 07083-4461

Phone: (201) 284-2307

More NJ providers

Mailing address

1496 Village Rd Apt a

Union, NJ 07083-4461

Registry dates

Enumerated: 2018-10-12
Last updated: 2024-01-09

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Pamela Jackson — NPI 1013482439, Union, NJ | NPI Central