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

Kiesha L Jackson

Individual provider Community Health Worker · NPI 1891665170

Kiesha L Jackson is a Community Health Worker in Plano, Texas. Licensed in Mississippi and Texas. Registered with an NPI since 2025.

Licensed in
MS, TX
In the registry since
2025
Specialties on file
3

Practice location Address checks out

101 E Park Blvd Ste 600
Plano, TX 75074-8818
Phone: (469) 864-0497
Show map & directions

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

Specialties & licences

Health & Wellness Coach (primary) Taxonomy 171400000X · Licence NA (TX)
Community Health Worker Taxonomy 172V00000X · Licence NA (TX)
Health Educator Taxonomy 174H00000X · Licence NA (MS)

Record details

NPI number1891665170
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorNo
NPI enumeratedNovember 11, 2025
Last updated in NPPESNovember 11, 2025
Certification dateNovember 11, 2025
Mailing address101 E Park Blvd Ste 600, Plano, TX 75074-8818

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