Provider Demographics
NPI:1255964581
Name:MEEKINS, JAKAYLA REBECCA
Entity type:Individual
Prefix:MISS
First Name:JAKAYLA
Middle Name:REBECCA
Last Name:MEEKINS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3721 COLONIAL TRL E
Mailing Address - Street 2:
Mailing Address - City:SURRY
Mailing Address - State:VA
Mailing Address - Zip Code:23883-2311
Mailing Address - Country:US
Mailing Address - Phone:757-784-1689
Mailing Address - Fax:757-294-3459
Practice Address - Street 1:3721 COLONIAL TRL E
Practice Address - Street 2:
Practice Address - City:SURRY
Practice Address - State:VA
Practice Address - Zip Code:23883-2311
Practice Address - Country:US
Practice Address - Phone:757-784-1689
Practice Address - Fax:757-294-3459
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-14
Last Update Date:2020-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347E00000XTransportation ServicesTransportation Broker