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DEAUANNA JACKSON
NPI 1922707538
Student in an Organized Health Care Education/Training Program in Louisville, KY

Active since March 02, 2023
901 S 4TH ST, LOUISVILLE, KY 40203(502) 585-9911 Get Directions Write a Review

NPPES record last updated: March 2, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Deauanna Jackson NPPES

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

DEAUANNA JACKSON (NPI 1922707538) is an individual student in an organized health care education/training program in Louisville, Kentucky and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1922707538
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDEAUANNA JACKSON
Location Address901 S 4TH STLouisville, KY 40203-3205
Mailing Address3440 Imperator Ln Unit 304Louisville, KY 40245-7807 · (502) 356-3700
Phone(502) 585-9911
Sole ProprietorYes
Enumeration DateMarch 2, 2023
NPPES CertifiedMarch 2, 2023
✔ NPI 1922707538 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

901 S 4TH ST, Louisville, KY 40203
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MITCHELL NELSON
Student in an Organized Health Care Education/Training Program
901 S 4TH ST
LOUISVILLE, KY 40203
Jefferson County (502) 779-1763
BASHA FERMAN
Specialist/Technologist (Athletic Trainer)
901 S 4TH ST
LOUISVILLE, KY 40203
Jefferson County (502) 386-0009
ABBY DANIELLE BOOKER
Specialist/Technologist (Athletic Trainer)
901 S 4TH ST
LOUISVILLE, KY 40203
Jefferson County (502) 585-9911
DAIKI TANIYAMA
Specialist/Technologist (Athletic Trainer)
901 S 4TH ST
LOUISVILLE, KY 40203
Jefferson County (502) 686-0183
KAMESHA BOWMAN
Student in an Organized Health Care Education/Training Program
901 S 4TH ST
LOUISVILLE, KY 40203
Jefferson County (502) 873-4417
REOSHANE ASHELLE GREEN
Student in an Organized Health Care Education/Training Program
901 S 4TH ST
LOUISVILLE, KY 40203
Jefferson County (502) 585-9911
ALISCIA HELGA GARCIA
Student in an Organized Health Care Education/Training Program
901 S 4TH ST
LOUISVILLE, KY 40203
Jefferson County (502) 585-9911
TAMAR M ISRAEL
Student in an Organized Health Care Education/Training Program
901 S 4TH ST
LOUISVILLE, KY 40203
Jefferson County (859) 619-9254

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 Deauanna Jackson's NPI number?

The NPI number for Deauanna Jackson is 1922707538. It was assigned to this individual provider in the NPPES registry on March 2, 2023.

Where is Deauanna Jackson located?

Deauanna Jackson practices at 901 S 4th St, Louisville, KY 40203. The listed phone number is (502) 585-9911.

What is Deauanna Jackson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Deauanna Jackson was last updated on March 2, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.