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Individual

DEJA JACKSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BSN, RN

Contact information

Practice address
17614 GLENWOLF DR, HOUSTON, TX 77084-1690
(832) 571-6994
Mailing address
17614 GLENWOLF DR, HOUSTON, TX 77084-1690
(832) 571-6994

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1146807
TX
163W00000X
Registered Nurse
95419285
CA

Other

Enumeration date
06/18/2025
Last updated
06/18/2025
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