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Deja Jackson
NPI 1891149233 · on the registry since 2016
Practice
- Address
- 1715 E. Cedar Suite 115
Olathe, KS 66062 - Phone
- (816) 977-3178
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Licence states on file
- KS
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-04-22
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 Kansas