Kandace Y Jackson
Driver • Toledo, OH
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Kandace Jackson has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Kandace Jackson was a registered Driver practicing in Toledo, OH. Throughout an active medical career spanning 1 years, Kandace Jackson provided care at the practice location at 1227 N SUPERIOR ST APT 4 until profile deactivation on 2024-04-17.
Practice Location & Contact Primary Location
1227 N Superior St Apt 4
Toledo, OH 436042906
Specialty Benchmarks & Practice Insights
Comparative analytics for Driver in Toledo, OH
Practicing in Toledo, OH (1080 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 172A00000X
A person employed to operate a motor vehicle as a carrier of persons or property.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on April 17, 2024
NPI status registered as active in NPPES database
Registered at 1227 N SUPERIOR ST APT 4, TOLEDO, OH 436042906 (Tel: 4193889478)
Registered at 1227 N SUPERIOR ST APT 4, TOLEDO, OH 436042906 (Tel: 4193889478)
Recorded as KANDACE JACKSON
Driver (License #UM749342 in OH)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
1227 N Superior St Apt 4
Toledo, OH 436042906
Phone: 4193889478
This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.