Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHELBY L JACKSON, CHW
Active Sole ProprietorSHELBY L JACKSON, CHW is a Community Health Worker healthcare provider located in GALLUP, New Mexico. NPI 1508652678 is currently active in the NPPES registry. Verify at CMS.
Community Health Worker · GALLUP, NM
Registration Details
- NPI Number
- 1508652678
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 16, 2025 (1.2949771662928 yrs)
- Last Updated
- May 29, 2025
- Licenses
-
0018-2025 (NM)S1-1776 (NM)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2111 COLLEGE DRGALLUP, NM, 873015600Browse NM providers · Browse ZIP 87301
- Phone
- 5053975172
- Fax
- 5053975172
- Primary Specialty
-
Community Health Worker
172V00000X
- Additional Specialty
- Community Health Worker
Other Community Health Worker Providers in GALLUP, NM
| Name | Credential | NPI |
|---|---|---|
| BRIAN PIERCE | — | 1407120744 |
| MS. JAYLYN DENISE RANDLES | CPSW, CHW | 1962269118 |
| MR. SCOTT DANIEL BURGNER | — | 1952152514 |
| MRS. KERRILYN THOMAS | — | 1891520375 |
| KRISTEN JOY PIKAART | CHW | 1164230090 |
| JERRY JAMES ORR | CCSS | 1598564544 |
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.