Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JATAI JACKSON
ActiveJATAI JACKSON is a Community Health Worker healthcare provider located in WOODBRIDGE, Virginia. NPI 1962909259 is currently active in the NPPES registry. Verify at CMS.
Community Health Worker · WOODBRIDGE, VA
Registration Details
- NPI Number
- 1962909259
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 12, 2018 (8.3713764663394 yrs)
- Last Updated
- Dec 2, 2024
- License
-
12201 (VA)
Practice Information
- Address
-
15022 SUNNY RIDGE CTWOODBRIDGE, VA, 221913967Browse VA providers · Browse ZIP 22191
- Phone
- 2024393667
- Primary Specialty
-
Community Health Worker
172V00000X
Other Community Health Worker Providers in WOODBRIDGE, VA
| Name | Credential | NPI |
|---|---|---|
| AFARH NUR | — | 1316372576 |
| RAIHANATU W KAMARA | — | 1114417904 |
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.