Organization
JACKSON ONESOURCE SOLUTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEASIA NEWSON JACKSON CPT (OWNER)
(573) 748-8198
Entity
Organization
Contact information
Practice address
15 GOULD STREET, KEWANEE, MO 63860
(573) 748-8198
Mailing address
PO BOX 115, KEWANEE, MO 63860-0115
(573) 748-8198
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
04/24/2026
Last updated
04/24/2026
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