DAISIONNE JACKSON

Student in an Organized Health Care Education/Training Program

Active Individual
NPI: 1710878244

Practice Address

1503 WURTELE AVE
Louisville, KY 40208

Phone: (502) 510-1046

Specialties

Specialty Code Primary License
Student in an Organized Health Care Education/Training Program 390200000X Yes -

Frequently Asked Questions

NPI 1710878244 is the National Provider Identifier for DAISIONNE JACKSON, a Student in an Organized Health Care Education/Training Program provider located in Louisville, KY. This NPI was enumerated on July 12, 2025.
DAISIONNE JACKSON practices at 1503 WURTELE AVE, Louisville, KY 40208.

Quick Facts

NPI
1710878244
Type
Individual
Enumerated
Jul 12, 2025
Last Updated
Jul 12, 2025

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