Debra Jackson
NPI #1366036519 in Summersville, West Virginia
Provider Information
- NPI Number
- 1366036519
- Entity Type
- Individual
- Name
- Debra Jackson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Community Health Worker
- Enumeration Date
- Feb 26, 2021
- Last Updated
- Feb 26, 2021
Practice Location
- Address
- 45 ERIC DR
- City
- Summersville
- State
- West Virginia
- ZIP Code
- 26651-9525
- Phone
- (304) 651-1979
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Health Worker |
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