Provider Demographics
NPI:1225350168
Name:JMJ TRANSPORT
Entity Type:Organization
Organization Name:JMJ TRANSPORT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:WILKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-882-3738
Mailing Address - Street 1:2720 CHINQUAPIN RD
Mailing Address - Street 2:
Mailing Address - City:TARBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27886-8546
Mailing Address - Country:US
Mailing Address - Phone:252-907-2556
Mailing Address - Fax:252-823-3083
Practice Address - Street 1:2720 CHINQUAPIN RD
Practice Address - Street 2:394 ELLIS RD
Practice Address - City:TARBORO
Practice Address - State:NC
Practice Address - Zip Code:27886-8546
Practice Address - Country:US
Practice Address - Phone:252-907-2556
Practice Address - Fax:252-823-3083
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-19
Last Update Date:2010-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)