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

Jackie Provost, MPH

Individual provider Health Educator · NPI 1346591963

Jackie Provost, MPH is a Health Educator in Los Angeles, California. Registered with an NPI since 2012.

In the registry since
2012
What do these letters mean?
MPH — Master of Public Health
A graduate degree in population health.

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Practice location Address checks out

5849 Crocker St Unit K
Los Angeles, CA 90003-1311
Phone: (323) 406-5784
Fax: (323) 233-2685
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Health Educator (primary) Taxonomy 174H00000X

Record details

NPI number1346591963
Entity typeIndividual (Type 1)
GenderFemale
Credentials MPH
Sole proprietorNo
NPI enumeratedSeptember 21, 2012
Last updated in NPPESSeptember 21, 2012

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