What is Selena Jackson's NPI number?

Selena Jackson's National Provider Identifier (NPI) is 1053917567, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Selena Jackson's specialty?

Selena Jackson is listed in the NPPES registry with a primary specialty of Community Health Worker (Other Service Providers).

Where is Selena Jackson located?

Selena Jackson's practice location on file with NPPES is 2434 Fourth Ave, Ketchikan, AK 99901-5820.

What is Selena Jackson's phone number?

The practice phone number listed in the NPPES registry for Selena Jackson is (907) 225-7825.

Is Selena Jackson's NPI active?

Yes — Selena Jackson's NPI (1053917567) is active in the NPPES registry as of the last update on 2021-02-09.

IndividualActive

Selena Jackson

NPI 1053917567 · Community Health Worker · Ketchikan, AK

Selena Jackson is a Community Health Worker provider in Ketchikan, AK (NPI 1053917567).

Provider details

NPI number: 1053917567
Entity type: Individual
Primary specialty: Community Health WorkerOther Service Providers
Sex: Female
Sole proprietor: No

Practice location

2434 Fourth Ave

Ketchikan, AK 99901-5820

Phone: (907) 225-7825

Street-level locationGet directions

More AK providers

Mailing address

721 Stedman St

Ketchikan, AK 99901-6632

Specialties & taxonomies

Community Health WorkerPrimary172V00000X
Other Service Providers
Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers

Additional practice locations (1)

721 Stedman St
Ketchikan, AK 99901-6632
Phone: (907) 225-7825

Profile Score

Established profile(62/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
5 yrs in NPPES registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
2 documented practice locations

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Enumerated: 2020-12-09
Last updated: 2021-02-09
Certified: 2021-02-09

Frequently asked questions

What is Selena Jackson's NPI number?: Selena Jackson's National Provider Identifier (NPI) is 1053917567, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What is Selena Jackson's specialty?: Selena Jackson is listed in the NPPES registry with a primary specialty of Community Health Worker (Other Service Providers).
Where is Selena Jackson located?: Selena Jackson's practice location on file with NPPES is 2434 Fourth Ave, Ketchikan, AK 99901-5820.
What is Selena Jackson's phone number?: The practice phone number listed in the NPPES registry for Selena Jackson is (907) 225-7825.
Is Selena Jackson's NPI active?: Yes — Selena Jackson's NPI (1053917567) is active in the NPPES registry as of the last update on 2021-02-09.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Additional practice locations (1)

Profile Score

Registry dates

Frequently asked questions

Specialties & taxonomies

Additional practice locations (1)

Profile Score

Frequently asked questions