MEDICARE: JD LOGISTICS NATIONAL LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1417744962
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JD LOGISTICS NATIONAL LLC

Provider Business Mailing Address
First Line	:	1133 THANET ST SW
Second Line	:
City	:	CONCORD
State	:	NC
Zip	:	28025-7111
Country	:	US
Telephone Number	:	919-200-0731
Fax Number	:

Provider Business Practice Location Address
First Line	:	1133 THANET ST SW
Second Line	:
City	:	CONCORD
State	:	NC
Zip	:	28025-7111
Country	:	US
Telephone Number	:	919-200-0731
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	DIAMOND CHERRY
Credential	:
Telephone Number	:	704-608-3222

Provider Enumeration Date	:	04/21/2025
Last Update Date	:	05/26/2025

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Directions to “JD LOGISTICS NATIONAL LLC ” Practice Location

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