Most Relevant Information
Provider Data
| NPI Number: | 1003203092 |
| Provider Name: | JACKI JOHNSON CHA |
| Entity Type: | Individual |
| Taxonomy Code: | 172V00000X |
| Specialty: | Community Health Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/17/2015 |
| Last Updated: | 12/08/2016 |
Provider Practice Location
189 AIRPORT ROAD
UNALAKLEET
AK
99684
Practice Location Phone/Fax
| Phone: | 9076243535 |
| Fax: | 9076243692 |
Provider Mailing Location
50 SCHOOL BLVD
STEBBINS
AK
99671
Provider Mailing Phone/Fax
| Phone: | 9079343311 |
| Fax: | 9079343312 |