Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Deauanna Jackson

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1922707538

Deauanna Jackson is a Student in an Organized Health Care Education/Training Program in Louisville, Kentucky. Practices as a sole proprietor. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

901 S 4th St
Louisville, KY 40203-3205
Phone: (502) 585-9911
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1922707538
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 2, 2023
Last updated in NPPESMarch 2, 2023
Certification dateMarch 2, 2023

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