DEAUANNA JACKSON

Student in an Organized Health Care Education/Training Program

Active Individual
NPI: 1922707538

Practice Address

901 S 4TH ST
Louisville, KY 40203

Phone: (502) 585-9911

Specialties

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

Frequently Asked Questions

NPI 1922707538 is the National Provider Identifier for DEAUANNA JACKSON, a Student in an Organized Health Care Education/Training Program provider located in Louisville, KY. This NPI was enumerated on March 2, 2023.
DEAUANNA JACKSON practices at 901 S 4TH ST, Louisville, KY 40203.

Quick Facts

NPI
1922707538
Type
Individual
Enumerated
Mar 2, 2023
Last Updated
Mar 2, 2023

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