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

Kewuan Deshaun Jackson

Individual provider Child Mental Illness Respite Care · NPI 1639300874

Kewuan Deshaun Jackson is a Child Mental Illness Respite Care in Tucson, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2009

Practice location Address checks out

4880 N Sabino Canyon Rd Apt 14160
Tucson, AZ 85750-7006
Phone: (520) 818-4318
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Child Mental Illness Respite Care (primary) Taxonomy 385HR2055X · Licence 1490923 (AZ)

Record details

NPI number1639300874
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 5, 2009
Last updated in NPPESAugust 5, 2009
Mailing address4880 N Sabino Canyon Rd, Apt 14160, Tucson, AZ 85750-7006

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