Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
QUEEN JACKSON
ActiveQUEEN JACKSON is a Community Health Worker healthcare provider located in COLUMBUS, Georgia. NPI 1558677013 is currently active in the NPPES registry. Verify at CMS.
Community Health Worker · COLUMBUS, GA
Registration Details
- NPI Number
- 1558677013
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 23, 2010 (15.984088884865 yrs)
- Last Updated
- Aug 23, 2010
Practice Information
- Address
-
2100 COMER AVECOLUMBUS, GA, 319048725Browse GA providers · Browse ZIP 31904
- Phone
- 7065965583
- Fax
- 7065965589
- Primary Specialty
-
Community Health Worker
172V00000X
Other Community Health Worker Providers in COLUMBUS, GA
| Name | Credential | NPI |
|---|---|---|
| MISS SHERYL LYNNETTE LUCKIE | HSP | 1750594842 |
| VIRGINIA STREET | HST | 1164631578 |
| BONITA ROBINSON | PP | 1861693046 |
| KRISTIN KINARD JAIN | — | 1518125772 |
| MR. MARCUS DELMAR STREET | — | 1366608382 |
| DEBRA WILLIAMS | — | 1073751509 |
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.