Search › Oklahoma › 335E00000X
Dezjuan Jackson
NPI 1679073183 · on the registry since 2018 · sole proprietor
Practice
- Address
- 10461 N May Ave
Oklahoma City, OK 73120 - Phone
- (405) 543-6314
Registry record
- Primary taxonomy
- 335E00000X
335E00000X
- Also registered as
- 332B00000X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-02-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma