IndividualActive
Wally Jackson-John
NPI 1790984771 · Personal Care Attendant · Bethel, AK
Wally Jackson-John is a Personal Care Attendant provider in Bethel, AK (NPI 1790984771).
Provider details
- NPI number
- 1790984771
- Entity type
- Individual
- Primary specialty
- Personal Care AttendantNursing Service Related Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Nursing Service Related Providers
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
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.
Practice location
700 Chief Eddie Hoffman Highway
Bethel, AK 99559-0528
Phone: (907) 543-6300
Fax: (907) 543-6366
Street-level locationGet directions
Mailing address
Po Box 528
Bethel, AK 99559-0528
Registry dates
- Enumerated
- 2007-07-11
- Last updated
- 2011-08-09
Frequently asked questions
- What is Wally Jackson-John's NPI number?
- Wally Jackson-John's National Provider Identifier (NPI) is 1790984771, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Wally Jackson-John's specialty?
- Wally Jackson-John is listed in the NPPES registry with a primary specialty of Personal Care Attendant (Nursing Service Related Providers).
- Where is Wally Jackson-John located?
- Wally Jackson-John's practice location on file with NPPES is 700 Chief Eddie Hoffman Highway, Bethel, AK 99559-0528.
- What is Wally Jackson-John's phone number?
- The practice phone number listed in the NPPES registry for Wally Jackson-John is (907) 543-6300.
- Is Wally Jackson-John's NPI active?
- Yes — Wally Jackson-John's NPI (1790984771) is active in the NPPES registry as of the last update on 2011-08-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.