Individual provider · Type 1 NPI

Kashawn Jackson

Student in an Organized Health Care Education/Training Program · Lewiston, ME

NPI number 1528994258 Active

Practice location

15 Challenger Dr
Lewiston, ME 04240-1041

Call (609) 457-6250 Map

Mailing address

48 Marshall Dr
Egg Harbor Township, NJ 08234-6002

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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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About NPI 1528994258

Kashawn Jackson's National Provider Identifier is 1528994258, issued on Jun 22, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Lewiston, ME. The record was last updated on Jun 22, 2026.