Search › Illinois › 172A00000X
Malinda Jackson
NPI 1619648839 · on the registry since 2021
Practice
- Address
- 411 E William St
Decatur, IL 62523 - Phone
- (217) 590-7433
- Fax
- (217) 615-7176
- Organisation at this address
- Decatur City Taxi & Delivery Inc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 172A00000X
172A00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-09-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois