1. Home
  2. Directory
  3. Mississippi
  4. Natchez
  5. Specialist
  6. NPI Profile

MR. DESHAUN ANTONIO JACKSON DPT
NPI 1285990622
Specialist in Natchez, MS

Active since April 10, 2012
1406 WESTWOOD RD, NATCHEZ, MS 39120(601) 807-2619 Get Directions Write a Review

NPPES record last updated: April 10, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Deshaun Antonio Jackson Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. DESHAUN ANTONIO JACKSON DPT (NPI 1285990622) is an individual specialist in Natchez, Mississippi, licensed in Mississippi (PT 4069) and active in the NPI registry since April 2012.

NPPES Registry Identity

NPI1285990622
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameMR. DESHAUN ANTONIO JACKSONCredential: DPT
Location Address1406 WESTWOOD RDNatchez, MS 39120-5055
Mailing Address1406 Westwood RdNatchez, MS 39120-5055 · (601) 807-2619
Phone(601) 807-2619
Sole ProprietorYes
Enumeration DateApril 10, 2012
✔ NPI 1285990622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in MS · PT 4069
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1406 WESTWOOD RD, Natchez, MS 39120
Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Deshaun Jackson's NPI number?

The NPI number for Deshaun Jackson is 1285990622. It was assigned to this individual provider in the NPPES registry on April 10, 2012.

Where is Deshaun Jackson located?

Deshaun Jackson practices at 1406 Westwood Rd, Natchez, MS 39120. The listed phone number is (601) 807-2619.

What is Deshaun Jackson's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Deshaun Jackson was last updated on April 10, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.