Rafael Douglas Jackson
Rafael Douglas Jackson is a Community Health Worker in Princeton, West Virginia. Registered with an NPI since 2026.
- In the registry since
- 2026
Practice location Address checks out
200 12th Street ExtPrinceton, WV 24740-2329
Phone: (304) 425-9541
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community Health Worker (primary) | Taxonomy 172V00000X |
|---|
Record details
| NPI number | 1689592271 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | July 9, 2026 |
| Last updated in NPPES | July 9, 2026 |
| Certification date | July 9, 2026 |
| Mailing address | 200 12th Street Ext, Princeton, WV 24740-2329 |
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200 12th Street Ext, Princeton, WV 24740-2398 · (304) 425-9541
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Jill Justina Kanode
200 12th Street Ext, Princeton, WV 24740-2329 · (304) 425-9541
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Amber Kinser
200 12th Street Ext, Princeton, WV 24740-2329 · (304) 425-9541