RAFAEL DOUGLAS JACKSON
NPI 1689592271
Community Health Worker in Princeton, WV
About Rafael Douglas Jackson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RAFAEL DOUGLAS JACKSON (NPI 1689592271) is an individual community health worker in Princeton, West Virginia and active in the NPI registry since July 2026.
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.
PRINCETON, WV 24740
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 Rafael Jackson's NPI number?
The NPI number for Rafael Jackson is 1689592271. It was assigned to this individual provider in the NPPES registry on July 9, 2026.
Where is Rafael Jackson located?
Rafael Jackson practices at 200 12th Street Ext, Princeton, WV 24740. The listed phone number is (304) 425-9541.
What is Rafael 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 Rafael Jackson was last updated on July 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days 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.