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

Khlareisa Jackson

Individual provider Community Health Worker · NPI 1972481398

Khlareisa Jackson is a Community Health Worker in Flint, Michigan. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

3600 S Dort Hwy
Flint, MI 48507-2093
Phone: (810) 308-8932
Show map & directions

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

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X

Record details

NPI number1972481398
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 25, 2025
Last updated in NPPESAugust 25, 2025
Certification dateAugust 24, 2025
Mailing address7031 Lindale Dr, Mount Morris, MI 48458-9741

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