Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY JACKSON
Active Sole ProprietorCommunity Health Worker · CRAIGSVILLE, WV
Registration Details
- NPI Number
- 1366029712
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 24, 2021 (5.1083416084677 yrs)
- Last Updated
- Mar 24, 2021
- Sole Proprietor
- Yes
Practice Information
- Address
-
65 WELL RDCRAIGSVILLE, WV, 26205Browse WV providers · Browse ZIP 26205
- Phone
- 3046511728
- Primary Specialty
-
Community Health Worker
172V00000X
Other Community Health Worker Providers in CRAIGSVILLE, WV
| Name | Credential | NPI |
|---|---|---|
| DEBRA KNIGHT | — | 1821680711 |
| KELLY RUSSELL | — | 1801480710 |
| RICHARD RAMSEY | — | 1912591496 |
| CINDY STUART | — | 1467046508 |
| DARRELL COX | — | 1104411909 |
| CHASITY BYRD | — | 1699360818 |
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.