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KEWUAN DESHAUN JACKSON
NPI 1639300874
Respite Care - Respite Care, Mental Illness, Child in Tucson, AZ

Active since August 05, 2009
4880 N SABINO CANYON RD, APT 14160, TUCSON, AZ 85750(520) 818-4318 Get Directions Write a Review

NPPES record last updated: August 5, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kewuan Deshaun Jackson NPPES

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

KEWUAN DESHAUN JACKSON (NPI 1639300874) is an individual respite care, mental illness, child provider in Tucson, Arizona, licensed in Arizona (1490923) and active in the NPI registry since August 2009.

NPPES Registry Identity

NPI1639300874
Entity TypeIndividualMale
Primary Taxonomy385HR2055X
Provider Legal NameKEWUAN DESHAUN JACKSON
Location Address4880 N SABINO CANYON RD, APT 14160Tucson, AZ 85750-7006
Mailing Address4880 N Sabino Canyon Rd, Apt 14160Tucson, AZ 85750-7006 · (520) 818-4318
Phone(520) 818-4318
Sole ProprietorYes
Enumeration DateAugust 5, 2009
✔ NPI 1639300874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRespite Care · Respite Care, Mental Illness, ChildRespite Care Facility
Taxonomy Code385HR2055X
License✔ Licensed in AZ · 1490923
Definition
A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental illness, as respite for the regular caregivers.
4880 N SABINO CANYON RD, Tucson, AZ 85750
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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 Kewuan Jackson's NPI number?

The NPI number for Kewuan Jackson is 1639300874. It was assigned to this individual provider in the NPPES registry on August 5, 2009.

Where is Kewuan Jackson located?

Kewuan Jackson practices at 4880 N Sabino Canyon Rd Apt 14160, Tucson, AZ 85750. The listed phone number is (520) 818-4318.

What is Kewuan Jackson's specialty?

The primary specialty registered for this NPI is Respite Care, specializing in Respite Care, Mental Illness, Child, with taxonomy code 385HR2055X.

When was this NPI record last updated?

The NPPES record for Kewuan Jackson was last updated on August 5, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.