DEASIA N. JACKSON CPT, CNA, RPHT – NPI #1245172501
Technician, Pathology

DEASIA JACKSON is a pathology technician located in KEWANEE, MO. NPPES recently assigned the NPI number 1245172501 to DEASIA JACKSON on April 07, 2026. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 246RP1900X from the Health Care Provider Taxonomy code set, which is classified as Technician, Pathology, specializing in Phlebotomy

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DEASIA JACKSON below.

NPI Profile for
DEASIA N. JACKSON

NPI Number
1245172501
Enumeration Date

(about 2 months ago)
Entity Type
Type-1  Individual (Female)
Legal Name
DEASIA N. JACKSON
Credentials
CPT, CNA, RPHT
Primary location
15 GOULD ST
KEWANEE, MO 63860-0115
Phone: (573) 748-8198 Fax:
Mailing address
PO BOX 115
KEWANEE, MO 63860-0115
Phone: (573) 748-8198 Fax:
Sole Proprietor
No
Updated
Certification Date
Mar 31, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
246RP1900X
- Technician, Pathology / Phlebotomy (Primary)		 MO K9K6X3N6

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.