Individual
DESHAWN JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
5426 N 90TH ST, OMAHA, NE 68134-1804
(402) 415-8609
Mailing address
1109 S 61ST ST, OMAHA, NE 68106-1501
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
NE
Other
Enumeration date
10/21/2025
Last updated
10/21/2025
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