SHELBY L JACKSON

GALLUP, NM
NPI1508652678
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
(Licence: NM  S1-1776)
Additional Taxonomies374J00000X Doula
(Licence: NM  0018-2025)
Enumeration Date2025-04-16
Last Update Date2025-05-29
Business Address
SHELBY L JACKSON CHW
2111 COLLEGE DR
GALLUP, NM 87301-5600
Phone number: 505-397-5172
Mailing Address
SHELBY L JACKSON CHW
2111 COLLEGE DR
GALLUP, NM 87301-5600
Phone number: 505-397-5172