SHELBY L JACKSON CHW
NPI 1508652678
Community Health Worker in Gallup, NM
About Shelby L Jackson Chw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHELBY L JACKSON CHW (NPI 1508652678) is an individual community health worker in Gallup, New Mexico, licensed in New Mexico (S1-1776) and active in the NPI registry since April 2025.
NPPES Registry Identity
Specialties & Licenses 2
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 Shelby Jackson's NPI number?
The NPI number for Shelby Jackson is 1508652678. It was assigned to this individual provider in the NPPES registry on April 16, 2025.
Where is Shelby Jackson located?
Shelby Jackson practices at 2111 College Dr, Gallup, NM 87301. The listed phone number is (505) 397-5172.
What is Shelby Jackson'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 Shelby Jackson was last updated on May 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.