Jennie Jackson, CHA-T

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

PO Box 189
Noorvik, AK 99763-0189

Phone

(907) 636-2103

Fax

(907) 636-2195

NPI assigned

Oct 13, 2026

Last updated

Oct 13, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1791849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791849600000",
    "number": "1396640884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 43",
            "address_2": "MANIILAQ ASSOCIATION",
            "city": "KOTZEBUE",
            "state": "AK",
            "postal_code": "997520043",
            "telephone_number": "907-442-3321",
            "fax_number": "907-442-7250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 189",
            "city": "NOORVIK",
            "state": "AK",
            "postal_code": "997630189",
            "telephone_number": "907-636-2103",
            "fax_number": "907-636-2195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "JENNIE",
        "credential": "CHA-T",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-10-13",
        "last_updated": "2026-10-13",
        "certification_date": "2026-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "AK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dorothy Lydia Brown, CHP
• Cynthia Ann Coffin, CHP
• Ellen Rose Coffin
• Carol Sophia Field
• Stanley Harvey, CHA I
• Maniilaq Association (Sally Harvey Memorial Clinic)
• Maniilaq Association (Noorvik Clinic)
• Flora M Newlin
• Naomi Snyder, CHA-I
• Jessica Stalker

• Community Health Worker in Noorvik, AK
• Providers in Noorvik, AK by specialty
• Community Health Worker in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.