IndividualActive
Bradley Jackson
NPI 1144005745 · Transportation Network Company · Ironton, MO
Provider details
- NPI number
- 1144005745
- Entity type
- Individual
- Primary specialty
- Transportation Network CompanyTransportation Services
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Transportation Services
Practice location
10178 Hwy 21
Ironton, MO 63650
Phone: (573) 330-2100
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 510
Pilot Knob, MO 63663-0510
Registry dates
- Enumerated
- 2023-08-30
- Last updated
- 2023-08-30
- Certified
- 2023-08-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.