Keshun Jackson
Keshun Jackson is a Student in an Organized Health Care Education/Training Program in Hattiesburg, Mississippi. Practices as a sole proprietor. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
203 N 25th AveHattiesburg, MS 39401-5958
Phone: (662) 897-4719
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1417590142 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | October 25, 2019 |
| Last updated in NPPES | October 25, 2019 |
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