IndividualActive
John Jackson
NPI 1023718731 · Driver · Newark, NJ
Provider details
- NPI number
- 1023718731
- Entity type
- Individual
- Primary specialty
- DriverOther Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- J0062-40768-06852 (NJ)
Specialties & taxonomies
Other Service Providers
Practice location
66 Hawkins St
Newark, NJ 07105-4318
Phone: (862) 272-9354
Approximate (ZIP-level) locationGet directions
Mailing address
66 Hawkins St
Newark, NJ 07105-4318
Registry dates
- Enumerated
- 2023-03-09
- Last updated
- 2023-03-09
- Certified
- 2023-03-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.