Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LATICIA S JACKSON
Active Sole ProprietorLATICIA S JACKSON is a Bus healthcare provider located in DAYTON, Ohio. NPI 1073236550 is currently active in the NPPES registry. Verify at CMS.
Bus · DAYTON, OH
Registration Details
- NPI Number
- 1073236550
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 20, 2022 (3.7186451520981 yrs)
- Last Updated
- Sep 20, 2022
- License
-
RR641726 (OH)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4118 ANNAPOLIS AVEDAYTON, OH, 454161505Browse OH providers · Browse ZIP 45416
- Phone
- 9372489741
- Primary Specialty
-
Bus
343900000X
Other Bus Providers in DAYTON, OH
| Name | Credential | NPI |
|---|---|---|
| TODD SMEDLEY | — | 1538420880 |
| JUSTIN RUHORIMBERE | — | 1083172514 |
| ALONA SHERELL REED | — | 1235796541 |
| DEONNA POWELL | — | 1881240026 |
| STEVEN E ALLEN | — | 1477101913 |
| SHANNON DEEANN DORSEY | — | 1609495654 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.