Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KIM JACKSON
ActiveKIM JACKSON is a Community Health Worker healthcare provider located in SAN BERNARDINO, California. NPI 1902257389 is currently active in the NPPES registry. Verify at CMS.
Community Health Worker · SAN BERNARDINO, CA
Registration Details
- NPI Number
- 1902257389
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 27, 2016 (10.142530842138 yrs)
- Last Updated
- Nov 30, 2023
Practice Information
- Address
-
1481 WINDSOR DRSAN BERNARDINO, CA, 924045416Browse CA providers · Browse ZIP 92404
- Phone
- 9516432340
- Primary Specialty
-
Community Health Worker
172V00000X
- Additional Specialty
- Peer Specialist
- Additional Specialty
- Community Health Worker
Other Community Health Worker Providers in SAN BERNARDINO, CA
| Name | Credential | NPI |
|---|---|---|
| MRS. CASSANDRA MARTIN | — | 1730240565 |
| KENNETH LILLARD | — | 1396870556 |
| MS. ARASELI HERNANDEZ | — | 1033242557 |
| ELIE HURTADO | — | 1104950567 |
| MISS VERA MORALES | — | 1801108667 |
| JEREMY BRANDON JACKSON | MS | 1689981599 |
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.