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

Jessica Dalistan

Individual provider Community Health Worker · NPI 1083424113

Jessica Dalistan is a Community Health Worker in Ukiah, California. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2

Practice location Address checks out

776 S State St Ste 103
Ukiah, CA 95482-5833
Phone: (707) 463-4915
Show map & directions

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

Specialties & licences

Day Training/Habilitation Specialist (primary) Taxonomy 373H00000X
Community Health Worker Taxonomy 172V00000X

Record details

NPI number1083424113
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 10, 2025
Last updated in NPPESApril 16, 2025
Certification dateApril 16, 2025
Mailing address776 S State St Ste 103, Ukiah, CA 95482-5833

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