Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. DESHAUN ANTONIO JACKSON, DPT
Active Sole ProprietorMR. DESHAUN ANTONIO JACKSON, DPT is a Specialist healthcare provider located in NATCHEZ, Mississippi. NPI 1285990622 is currently active in the NPPES registry. Verify at CMS.
Specialist · NATCHEZ, MS
Registration Details
- NPI Number
- 1285990622
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 10, 2012 (14.201703617471 yrs)
- Last Updated
- Apr 10, 2012
- License
-
PT 4069 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1406 WESTWOOD RDNATCHEZ, MS, 391205055Browse MS providers · Browse ZIP 39120
- Phone
- 6018072619
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in NATCHEZ, MS
| Name | Credential | NPI |
|---|---|---|
| GEOFFREY J FLATTMANN | MD | 1801845136 |
| DR. KOFI OWUSU KUMI | MD | 1417969338 |
| DR. CHARLES D BORUM | M.D. | 1417042979 |
| ELIZABETH R. MARKS | DPT | 1104177823 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.