NPI 1891665170

Kiesha L Jackson

Practitioner Health & Wellness Coach Plano, TX

Practice location

Address: 101 E Park Blvd STE 600, Plano, TX 75074-8818
Phone: (469) 864-0497

Registered specialties (3)

Health & Wellness Coach Primary

Other Service Providers Taxonomy 171400000X Licence NA (TX)

Other Health & Wellness Coach providers in Texas →

Community Health Worker

Other Service Providers Taxonomy 172V00000X Licence NA (TX)

Other Community Health Worker providers in Texas →

Health Educator

Other Service Providers Taxonomy 174H00000X Licence NA (MS)

Other Health Educator providers in Texas →

Registry record

NPI: 1891665170
Entity type: Individual
Sex (as registered): X
NPI issued: 11 Nov 2025
Record last updated: 11 Nov 2025

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.