NPI 1003704131

Deonte De'Laron Jackson

Practitioner Home Health Agency Omaha, NE

Practice location

Address: 2877 Titus Ave, Omaha, NE 68112-3231
Phone: (531) 232-5706

Registered specialties

Home Health Agency Primary

Agencies Taxonomy 251E00000X

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Registry record

NPI: 1003704131
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Jun 2025
Record last updated: 26 Jun 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.