JATAI JACKSON
NPI 1962909259
Community Health Worker in Woodbridge, VA
About Jatai Jackson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JATAI JACKSON (NPI 1962909259) is an individual community health worker in Woodbridge, Virginia, licensed in Virginia (12201) and active in the NPI registry since April 2018.
NPPES Registry Identity
Specialties & Licenses
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 Jatai Jackson's NPI number?
The NPI number for Jatai Jackson is 1962909259. It was assigned to this individual provider in the NPPES registry on April 12, 2018.
Where is Jatai Jackson located?
Jatai Jackson practices at 15022 Sunny Ridge Ct, Woodbridge, VA 22191. The listed phone number is (202) 439-3667.
What is Jatai 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 Jatai Jackson was last updated on December 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.