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

Shelby L Jackson, CHW

Individual provider Doula · NPI 1508652678

Shelby L Jackson, CHW is a Doula in Gallup, New Mexico. Practices as a sole proprietor. Licensed in New Mexico.

Licensed in
NM
In the registry since
2025
Specialties on file
2

Practice location Address checks out

2111 College Dr
Gallup, NM 87301-5600
Phone: (505) 397-5172
Fax: (505) 397-5172
Show map & directions

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

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X · Licence S1-1776 (NM)
Doula Taxonomy 374J00000X · Licence 0018-2025 (NM)

Record details

NPI number1508652678
Entity typeIndividual (Type 1)
GenderFemale
Credentials CHW
Sole proprietorYes
NPI enumeratedApril 16, 2025
Last updated in NPPESMay 29, 2025
Certification dateMay 29, 2025