JACKYLIN JILL WALLACE
NPI 1073247912
Community Health Worker in Lake Isabella, CA

Active since July 15, 2022
2731 NUGGET AVE, LAKE ISABELLA, CA 93240(760) 379-3412(760) 379-5332 Get Directions Write a Review

NPPES record last updated: August 15, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 15, 2023, Jul 15, 2022 (2 updates tracked since 2022).

About Jackylin Jill Wallace NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACKYLIN JILL WALLACE (NPI 1073247912) is an individual community health worker in Lake Isabella, California and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1073247912
Entity TypeIndividualFemale
Primary Taxonomy172V00000X
Provider Legal NameJACKYLIN JILL WALLACE
Location Address2731 NUGGET AVELake Isabella, CA 93240-9456
Mailing AddressPo Box 2632Lake Isabella, CA 93240-2632 · (760) 379-3412 · Fax (760) 379-5332
Fax(760) 379-5332
Sole ProprietorNo
Enumeration DateJuly 15, 2022
Last NPPES UpdateAugust 15, 20232 updates tracked since enumeration
NPPES CertifiedAugust 15, 2023
NPI 1073247912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity Health WorkerOther Service Providers
Taxonomy Code172V00000X
Definition
Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, promotores(as), outreach educators, community health representatives, peer health promoters, and peer health educators. CHWs offer interpretation and translation services, provide culturally appropriate health education and information, assist people in receiving the care they need, give informal counseling and guidance on health behaviors, advocate for individual and community health needs, and provide some direct services such as first aid and blood pressure screening. Some examples of these practitioners are Community Health Aides or Practitioners established under 25 USC 1616 (l) under HHS, Indian Health Service, Public Health Service.
2731 NUGGET AVE, Lake Isabella, CA 93240

Other Identifiers 1

Medicaid172V00000XCA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Case Manager/Care Coordinator
2731 NUGGET AVE, BOX 2632
LAKE ISABELLA, CA 93240
Counselor (Mental Health)
2731 NUGGET AVE
LAKE ISABELLA, CA 93240
Case Manager/Care Coordinator
2731 NUGGET AVE
LAKE ISABELLA, CA 93240
Counselor (Addiction (Substance Use Disorder))
2731 NUGGET AVE
LAKE ISABELLA, CA 93240
Marriage & Family Therapist
2731 NUGGET AVE
LAKE ISABELLA, CA 93240
Case Manager/Care Coordinator
2731 NUGGET AVE
LAKE ISABELLA, CA 93240
Student in an Organized Health Care Education/Training Program
2731 NUGGET AVE
LAKE ISABELLA, CA 93240
Marriage & Family Therapist
2731 NUGGET AVE
LAKE ISABELLA, CA 93240

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jackylin Wallace's NPI number?

The NPI number for Jackylin Wallace is 1073247912. It was assigned to this individual provider in the NPPES registry on July 15, 2022.

Where is Jackylin Wallace located?

Jackylin Wallace practices at 2731 Nugget Ave, Lake Isabella, CA 93240. The listed phone number is (760) 379-3412.

What is Jackylin Wallace's specialty?

The primary specialty registered for this NPI is Community Health Worker with taxonomy code 172V00000X.

When was this NPI record last updated?

The NPPES record for Jackylin Wallace was last updated on August 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.