KIM JACKSON

Community Health Worker

Active Individual
NPI: 1902257389

Practice Address

1481 WINDSOR DR
San Bernardino, CA 92404

Phone: (951) 643-2340

Specialties

Specialty Code Primary License
Case Manager/Care Coordinator 171M00000X No -
Peer Specialist 175T00000X No -
Community Health Worker 172V00000X Yes -

Frequently Asked Questions

NPI 1902257389 is the National Provider Identifier for KIM JACKSON, a Community Health Worker provider located in San Bernardino, CA. This NPI was enumerated on June 27, 2016.
KIM JACKSON practices at 1481 WINDSOR DR, San Bernardino, CA 92404.

Quick Facts

NPI
1902257389
Type
Individual
Enumerated
Jun 27, 2016
Last Updated
Nov 30, 2023

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