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JACKIE PROVOST MPH
NPI 1346591963
Health Educator in Los Angeles, CA

Active since September 21, 2012
5849 CROCKER ST, UNIT K, LOS ANGELES, CA 90003(323) 406-5784(323) 233-2685 Get Directions Write a Review

NPPES record last updated: September 21, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jackie Provost Mph NPPES

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

JACKIE PROVOST MPH (NPI 1346591963) is an individual health educator provider in Los Angeles, California and active in the NPI registry since September 2012.

NPPES Registry Identity

NPI1346591963
Entity TypeIndividualFemale
Primary Taxonomy174H00000X
Provider Legal NameJACKIE PROVOSTCredential: MPH
Location Address5849 CROCKER ST, UNIT KLos Angeles, CA 90003-1311
Mailing Address5849 Crocker St, Unit KLos Angeles, CA 90003-1311
Phone(323) 406-5784
Fax(323) 233-2685
Sole ProprietorNo
Enumeration DateSeptember 21, 2012
✔ NPI 1346591963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHealth EducatorOther Service Providers
Taxonomy Code174H00000X
Definition
Health educators work in a variety of settings providing education to individuals or groups of individuals on healthy behaviors, wellness, and health-related topics with the goal of preventing diseases and health problems. Health educators generally require a bachelor's degree and may receive additional training, such as through mentoring, internships, or volunteer work.
5849 CROCKER ST, Los Angeles, CA 90003
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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.

PASHION WILLIAMS
Case Manager/Care Coordinator
5849 CROCKER ST
LOS ANGELES, CA 90003
Los Angeles County (323) 432-4399
VALERIE GAMBLE
Counselor
5849 CROCKER ST
LOS ANGELES, CA 90003
Los Angeles County (323) 432-4399
SHARON HERBERT
Case Manager/Care Coordinator
5849 CROCKER ST
LOS ANGELES, CA 90003
Los Angeles County (323) 234-4445
ISOKE NABAWI
Counselor (Professional)
5849 CROCKER ST
LOS ANGELES, CA 90003
Los Angeles County (323) 234-4445
GUILLERMO ARMENTA
Case Manager/Care Coordinator
5849 CROCKER ST
LOS ANGELES, CA 90003
Los Angeles County (323) 948-0444
JOSEPH MICHAEL REMARCKE
Social Worker
5849 CROCKER ST
LOS ANGELES, CA 90003
Los Angeles County (323) 948-0444
MR. EDWARD VIVERO
Community Health Worker
5849 CROCKER ST
LOS ANGELES, CA 90003
Los Angeles County (323) 406-5806
REZAL GILLIES
Counselor (Mental Health)
5849 CROCKER ST
LOS ANGELES, CA 90003
Los Angeles County (323) 234-4445

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 Jackie Provost's NPI number?

The NPI number for Jackie Provost is 1346591963. It was assigned to this individual provider in the NPPES registry on September 21, 2012.

Where is Jackie Provost located?

Jackie Provost practices at 5849 Crocker St Unit K, Los Angeles, CA 90003. The listed phone number is (323) 406-5784.

What is Jackie Provost's specialty?

The primary specialty registered for this NPI is Health Educator with taxonomy code 174H00000X.

When was this NPI record last updated?

The NPPES record for Jackie Provost was last updated on September 21, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.