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

Dezjuan Vonte Jackson

Individual provider Durable Medical Equipment & Medical Supplies · NPI 1679073183

Dezjuan Vonte Jackson is a Durable Medical Equipment & Medical Supplies in Oklahoma City, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.

Licensed in
OK
In the registry since
2018
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

10461 N May Ave
Oklahoma City, OK 73120-2610
Phone: (405) 543-6314
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Prosthetic/Orthotic Supplier (primary) Taxonomy 335E00000X · Licence 314007 (OK)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1679073183
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 20, 2018
Last updated in NPPESFebruary 20, 2018

Other providers in Oklahoma City