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Marcus Andrew Jackson Sr.

NPI 1295553899ActiveIndividual· Driver· Clarksville, TN

Driver in Clarksville, Tennessee, licensed in TN, with an NPI issued in October 2024.

Overview

NPI1295553899
StatusActive
Entity typeIndividual
Sole proprietorYes
NPI issuedOct 1, 2024
Last updated in NPPESOct 1, 2024
Certified by providerOct 1, 2024

Specialties and licenses

TaxonomyCodeLicenseState
Driver Primary172A00000X099456671TN

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Driver providers in Clarksville

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