Search › Mississippi › 171400000X
Deriteous Jackson
NPI 1700707023 · on the registry since 2026
Practice
- Address
- 2322 Utah St
Jackson, MS 39213 - Phone
- (601) 436-5255
Registry record
- Primary taxonomy
- 171400000X
171400000X
- Sex
- Male
- Record last updated
- 2026-07-22
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 Mississippi