Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gabrielle Tynisha Jackson

Individual provider Health & Wellness Coach · NPI 1073339149

Gabrielle Tynisha Jackson is a Health & Wellness Coach in Chicago, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2024

Practice location Address checks out

2706 N Halsted St Ste B
Chicago, IL 60614-1414
Phone: (708) 808-6592
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Health & Wellness Coach (primary) Taxonomy 171400000X · Licence 13109123 (IL)

Record details

NPI number1073339149
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 23, 2024
Last updated in NPPESNovember 23, 2024
Certification dateNovember 23, 2024

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