NPI 1013150465

Shavaki Denise Jackson

Practitioner Community Health Worker Oakland, CA

Practice location

Address: 954 60th St Suite 10, Oakland, CA 94608-2369
Phone: (510) 835-2505
Fax: (510) 835-1062

Registered specialties

Community Health Worker Primary

Other Service Providers Taxonomy 172V00000X

Other Community Health Worker providers in California →

Registry record

NPI: 1013150465
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Apr 2009
Record last updated: 15 Apr 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.