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

Kieondra Jackson

Individual provider Community Health Worker · NPI 1467330373

Kieondra Jackson is a Community Health Worker in Charlotte, North Carolina. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
3

Practice location Address checks out

2801 Crisman St Ste 212
Charlotte, NC 28208-3847
Phone: (704) 451-4289
Show map & directions

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

Specialties & licences

Health & Wellness Coach (primary) Taxonomy 171400000X
Community Health Worker Taxonomy 172V00000X
Health Educator Taxonomy 174H00000X

Record details

NPI number1467330373
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 27, 2025
Last updated in NPPESAugust 27, 2025
Certification dateAugust 27, 2025

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