MS. KELLIE JEANNIE JACK
NPI 1437305265
Community Health Worker in Eureka, CA
About Ms. Kellie Jeannie Jack NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. KELLIE JEANNIE JACK (NPI 1437305265) is an individual community health worker in Eureka, California and active in the NPI registry since August 2008.
NPPES Registry Identity
Specialties & Licenses
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.
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 Kellie Jack's NPI number?
The NPI number for Kellie Jack is 1437305265. It was assigned to this individual provider in the NPPES registry on August 12, 2008.
Where is Kellie Jack located?
Kellie Jack practices at 720 Wood St, Eureka, CA 95501. The listed phone number is (707) 268-2990.
What is Kellie Jack'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 Kellie Jack was last updated on April 4, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.