person
Keshun Jackson
Student in an Organized Health Care Education/Training Program in Hattiesburg, Mississippi
NPI 1417590142

Keshun Jackson is a Student in an Organized Health Care Education/Training Program based in Hattiesburg, MS. Keshun Jackson practices in Hattiesburg, MS. The NPI Number for Keshun Jackson is 1417590142 and holds a License No. (Mississippi).

The current practice location address for Keshun Jackson is 203 N 25Th Ave, Hattiesburg, MS and can be reached out via phone at 662-897-4719.

Location: 203 N 25Th Ave, Hattiesburg, MS, 39401-5958
person
Provider Profile Details
NPI Number
1417590142
Provider Name
Keshun Jackson
Credential
Provider Entity Type
Individual
Gender
Male
Address
203 N 25Th Ave, Hattiesburg, MS, 39401-5958
Phone Number
662-897-4719
Fax Number
Provider Enumeration Date
10/25/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
203 N 25Th Ave
City
State
Zip
39401-5958
Phone Number
662-897-4719
Fax Number
person
Provider Business Mailing Address Details
Address
203 N 25Th Ave
City
State
Zip
39401-5958
Phone Number
662-897-4719
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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