Individual provider · Type 1 NPI

Deasjah Lashae Jackson, BSN, RN

Student in an Organized Health Care Education/Training Program · Madisonville, KY

NPI number 1770489197 Active

Practice location

670 S Madison Ave
Madisonville, KY 42431-3022

Call (270) 399-1971 Map

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 1770489197

Deasjah Lashae Jackson, BSN, RN's National Provider Identifier is 1770489197, issued on Oct 14, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Madisonville, KY. The record was last updated on Oct 14, 2026.