NPI 1104536119

Skylar Janae Jackson

Practitioner Community Health Worker Vallejo, CA

Practice location

Address: 1116 Legend Cir, Vallejo, CA 94591-8679
Phone: (707) 647-3972
Mailing address: 444 Georgia St, Vallejo, CA 94590-6005

Registered specialties (2)

Community Health Worker Primary

Other Service Providers Taxonomy 172V00000X

Other Community Health Worker providers in California →

Case Manager/Care Coordinator

Other Service Providers Taxonomy 171M00000X

Other Case Manager/Care Coordinator providers in California →

Registry record

NPI: 1104536119
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Nov 2022
Record last updated: 3 Jan 2024

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.