Active NPIIndividual provider

Jamia J Jackson, BA

Community Health Worker in Waterbury, Connecticut

NPI Number1174964860
Practice location
141 E Main St, Waterbury, CT 06702-2310
Fax
203-574-9006
Last updated
July 10, 2013

Jamia J Jackson is a Community Health Worker based in Waterbury, CT. Jamia J Jackson practices in Waterbury, CT and has the professional credentials of BA. The NPI Number for Jamia J Jackson is 1174964860. The current practice location address for Jamia J Jackson is 141 E Main St, Waterbury, CT 06702-2310 and can be reached out via phone at 203-574-9000 and via fax at 203-574-9006.

Provider Profile Details

NPI Number
1174964860
Provider Name
Jamia J Jackson
Credential
BA
Provider Entity Type
Individual
Gender
Female
Address
141 E Main St, Waterbury, CT 06702-2310
Phone Number
203-574-9000
Fax Number
203-574-9006
Primary Taxonomy
Community Health Worker · 172V00000X
Sole Proprietor
No
Provider Enumeration Date
July 10, 2013
Last Update Date
July 10, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
141 E Main St
Waterbury, CT 06702-2310
Zip
06702-2310
Phone Number
203-574-9000
Fax Number
203-574-9006
Waterbury, CT 06702Get directions →

Provider Business Mailing Address Details

Address
141 E Main St
Waterbury, CT 06702-2310
City
Waterbury
State
CT
Zip
06702-2310
Phone Number
203-574-9000
Fax Number
203-574-9006

License Information

Taxonomy
Community Health Worker · 172V00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jamia J Jackson, BA?

The NPI number of Jamia J Jackson, BA is 1174964860. It was assigned on July 10, 2013 and is currently active in the NPPES registry.

What is the specialty of Jamia J Jackson, BA?

Jamia J Jackson, BA is registered under the primary taxonomy Community Health Worker (code 172V00000X).

Where does Jamia J Jackson, BA practice?

The practice location is 141 E Main St, Waterbury, CT 06702-2310. The office can be reached at 203-574-9000 (phone) or 203-574-9006 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1174964860 directly on the NPPES registry website.

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