Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Matthew Jackson

Individual provider Driver · NPI 1932558210

Matthew Jackson is a Driver in Lafayette, Louisiana. Practices as a sole proprietor. Licensed in Louisiana.

Licensed in
LA
In the registry since
2016
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Practice location Address checks out

3121 Johnston St Apt 142
Lafayette, LA 70503-3760
Phone: (337) 201-2365
Fax: (337) 419-0513
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Driver (primary) Taxonomy 172A00000X · Licence 010460855 (LA)

Record details

NPI number1932558210
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 8, 2016
Last updated in NPPESJune 8, 2016

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