IndividualActive
Byron Jackson
NPI 1982304887 · Driver · Amite, LA
Provider details
- NPI number
- 1982304887
- Entity type
- Individual
- Primary specialty
- DriverOther Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 005750531 (LA)
Mailing address
661 Sawmill Rd
Amite, LA 70422-6630
Registry dates
- Enumerated
- 2023-03-08
- Last updated
- 2023-03-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.