Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACOB JACKSON
ActiveJACOB JACKSON is a Community Health Worker healthcare provider located in DALTON, Georgia. NPI 1568812683 is currently active in the NPPES registry. Verify at CMS.
Community Health Worker · DALTON, GA
Registration Details
- NPI Number
- 1568812683
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 20, 2016 (10.180053040695 yrs)
- Last Updated
- Jun 20, 2016
Practice Information
- Address
-
2615 CLEVELAND HWYDALTON, GA, 307218160Browse GA providers · Browse ZIP 30721
- Phone
- 7062705060
- Primary Specialty
-
Community Health Worker
172V00000X
Other Community Health Worker Providers in DALTON, GA
| Name | Credential | NPI |
|---|---|---|
| DEBRA PREVESK | — | 1740546720 |
| GAIL BARTON | — | 1811347933 |
| OSCAR HOLLIDAY | — | 1194176057 |
| MARY GREENWAY | — | 1013491588 |
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.