SHELBY JACKSON, CHW

Community Health Worker

Active Individual
NPI: 1508652678

Practice Address

2111 COLLEGE DR
Gallup, NM 87301

Phone: (505) 397-5172

Specialties

Specialty Code Primary License
Doula 374J00000X No 0018-2025 (NM)
Community Health Worker 172V00000X Yes S1-1776 (NM)

Frequently Asked Questions

NPI 1508652678 is the National Provider Identifier for SHELBY JACKSON, CHW, a Community Health Worker provider located in Gallup, NM. This NPI was enumerated on April 16, 2025.
SHELBY JACKSON, CHW practices at 2111 COLLEGE DR, Gallup, NM 87301.

Quick Facts

NPI
1508652678
Type
Individual
Enumerated
Apr 16, 2025
Last Updated
May 29, 2025

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