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

MS. Kiyunda Renee Nicole Jackson

Individual provider Community Health Worker · NPI 1073984662

MS. Kiyunda Renee Nicole Jackson is a Community Health Worker in Los Angeles, California. Licensed in California. Registered with an NPI since 2015.

Licensed in
CA
In the registry since
2015
Specialties on file
4

Practice location Address checks out

8019 Compton Ave
Los Angeles, CA 90001
Phone: (323) 586-7333
Show map & directions

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

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X (CA)
Community Health Worker Taxonomy 172V00000X
Rehabilitation Practitioner Taxonomy 225400000X
Day Training/Habilitation Specialist Taxonomy 373H00000X

Record details

NPI number1073984662
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 8, 2015
Last updated in NPPESAugust 6, 2025
Certification dateAugust 6, 2025

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