Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. KELLIE JEANNIE JACK
Active Sole ProprietorCommunity Health Worker · EUREKA, CA
Registration Details
- NPI Number
- 1437305265
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 12, 2008 (17.693556159131 yrs)
- Last Updated
- Apr 4, 2014
- Sole Proprietor
- Yes
Practice Information
- Address
-
720 WOOD STEUREKA, CA, 955014413Browse CA providers · Browse ZIP 95501
- Phone
- 7072682990
- Primary Specialty
-
Community Health Worker
172V00000X
Other Community Health Worker Providers in EUREKA, CA
| Name | Credential | NPI |
|---|---|---|
| MR. JESSE MILES KATZ | NONE | 1578728382 |
| JOE MARK NAGY | — | 1043453491 |
| MISS JENNIFER LESLIE KAYES | — | 1588897110 |
| ANGELA DAWN STARR LOCKWOOD | — | 1144529132 |
| SOLOMON GIBEAU | — | 1336431360 |
| ALLISON KATE BROWN | HSW | 1700162179 |
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.