Shelby L Jackson, CHW
NPI #1508652678 in Gallup, New Mexico
Provider Information
- NPI Number
- 1508652678
- Entity Type
- Individual
- Name
- Shelby L Jackson, CHW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Community Health Worker
- Credential
- CHW
- Enumeration Date
- Apr 16, 2025
- Last Updated
- May 29, 2025
Practice Location
- Address
- 2111 COLLEGE DR
- City
- Gallup
- State
- New Mexico
- ZIP Code
- 87301-5600
- Phone
- (505) 397-5172
Specialties & Taxonomy Codes
| Specialty |
|---|
| Doula |
| Community Health Worker |
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