Jatai Jackson
Jatai Jackson is a Community Health Worker in Woodbridge, Virginia. Licensed in Virginia. Registered with an NPI since 2018.
- Licensed in
- VA
- In the registry since
- 2018
Practice location Address checks out
15022 Sunny Ridge CtWoodbridge, VA 22191-3967
Phone: (202) 439-3667
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community Health Worker (primary) | Taxonomy 172V00000X · Licence 12201 (VA) |
|---|
Record details
| NPI number | 1962909259 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | April 12, 2018 |
| Last updated in NPPES | December 2, 2024 |
| Certification date | December 2, 2024 |
| Mailing address | 15022 Sunny Ridge Ct Apt 203, Woodbridge, VA 22191-3967 |
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