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Michael Jackson — NPI 1639818735, Fishers, IN | NPI Central

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NPI 1639818735

IndividualActive

Michael Jackson

NPI 1639818735 · Driver · Fishers, IN

Provider details

NPI number: 1639818735
Entity type: Individual
Primary specialty: DriverOther Service Providers
Sex: Male
Sole proprietor: Yes
License: 2310019002 (IN)

Specialties & taxonomies

DriverPrimary172A00000XLicense 2310019002 (IN)
Other Service Providers

Practice location

10816 Washington Bay Dr

Fishers, IN 46037-9554

Phone: (317) 801-0551

Approximate (ZIP-level) locationGet directions

More IN providers

Mailing address

10816 Washington Bay Dr

Fishers, IN 46037-9554

Registry dates

Enumerated: 2022-05-27
Last updated: 2025-09-25
Certified: 2025-09-25

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