DEJA JACKSON
NPI 1972260941
Home Health Aide in Saint Louis, MO

Active since November 24, 2021
823 ELSWORTH PL, SAINT LOUIS, MO 63135(314) 372-5626(314) 222-3858 Get Directions Write a Review

NPPES record last updated: November 24, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Deja Jackson NPPES

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

DEJA JACKSON (NPI 1972260941) is an individual home health aide in Saint Louis, Missouri and active in the NPI registry since November 2021.

NPPES Registry Identity

NPI1972260941
Entity TypeIndividualFemale
Primary Taxonomy374U00000X
Provider Legal NameDEJA JACKSON
Location Address823 ELSWORTH PLSaint Louis, MO 63135-3127
Mailing Address823 Elsworth PlSaint Louis, MO 63135-3127 · (314) 372-5626 · Fax (314) 222-3858
Fax(314) 222-3858
Sole ProprietorNo
Enumeration DateNovember 24, 2021
NPPES CertifiedNovember 24, 2021
NPI 1972260941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHome Health AideNursing Service Related Providers
Taxonomy Code374U00000X
Definition
A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.
823 ELSWORTH PL, Saint Louis, MO 63135

Other Identifiers 1

Medicaid02MO

Other Providers at the Same Location NPPES

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

Home Health
823 ELSWORTH PL
SAINT LOUIS, MO 63135

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 Deja Jackson's NPI number?

The NPI number for Deja Jackson is 1972260941. It was assigned to this individual provider in the NPPES registry on November 24, 2021.

Where is Deja Jackson located?

Deja Jackson practices at 823 Elsworth Pl, Saint Louis, MO 63135. The listed phone number is (314) 372-5626.

What is Deja Jackson's specialty?

The primary specialty registered for this NPI is Home Health Aide with taxonomy code 374U00000X.

When was this NPI record last updated?

The NPPES record for Deja Jackson was last updated on November 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.