Jackson Transportation

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

JACKSON TRANSPORTATION

Practice address

20255 Macon LN
Port Charlotte, FL 33952-3825

Phone

(941) 255-0642

NPI assigned

May 9, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Patrick Ferdinand Jackson

Title

President

Phone

(941) 255-0642

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619926458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20255 MACON LN",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339523825",
            "telephone_number": "941-255-0642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20255 MACON LN",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339523825",
            "telephone_number": "941-255-0642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON TRANSPORTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "FERDINAND",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-255-0642",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ivy Flo Moore
• Yaidelin Izquierdo Concepcion
• Ashlee Jackimowicz
• Marcy Jackovic
• Jackson Optical LLC
• Candis L Jackson, LMHC
• Julliet Jackson
• Richard E Jackson, PA-C
• Cynthia Darlene Jacobs, ARNP
• Karin L Jacobs

• Non-emergency Medical Transport (VAN) in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• Non-emergency Medical Transport (VAN) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.