NPI 1962909259

Jatai Jackson

Practitioner Community Health Worker Woodbridge, VA

Practice location

Address: 15022 Sunny Ridge CT, Woodbridge, VA 22191-3967
Phone: (202) 439-3667
Mailing address: 15022 Sunny Ridge CT APT 203, Woodbridge, VA 22191-3967

Registered specialties

Community Health Worker Primary

Other Service Providers Taxonomy 172V00000X Licence 12201 (VA)

Other Community Health Worker providers in Virginia →

Registry record

NPI: 1962909259
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Apr 2018
Record last updated: 2 Dec 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.