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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CHANELL SHANNON JACKSON, NMW, WHNP

Active

CHANELL SHANNON JACKSON, NMW, WHNP is a Midwife healthcare provider located in CULVER CITY, California. NPI 1356011597 is currently active in the NPPES registry. Verify at CMS.

Midwife · CULVER CITY, CA

Registration Details

NPI Number
1356011597
Provider Type
Individual
Gender
Female
NPI Issued
Sep 19, 2021 (4.8808154637679 yrs)
Last Updated
Mar 30, 2022
Licenses
236061 (CA)
236061 (CA)

Practice Information

Address
5883 1/2 DOVERWOOD DR
CULVER CITY, CA, 902307203
Browse CA providers · Browse ZIP 90230
Phone
3108487736
Primary Specialty
Midwife
176B00000X
Additional Specialty
Midwife

Other Midwife Providers in CULVER CITY, CA

Name Credential NPI
ALLEGRA HILL LM CPM 1205182946
HIROKO AOYAGI LM, CPM 1619545043
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.