Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MISS LATRICE JACKSON
Active Sole ProprietorMISS LATRICE JACKSON is a Registered Nurse healthcare provider located in SAUK VILLAGE, Illinois. NPI 1174352280 is currently active in the NPPES registry. Verify at CMS.
Registered Nurse · SAUK VILLAGE, IL
Registration Details
- NPI Number
- 1174352280
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 29, 2024 (2.0351330108634 yrs)
- Last Updated
- Jul 29, 2024
- License
-
041398810 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2010 216TH STSAUK VILLAGE, IL, 604114506Browse IL providers · Browse ZIP 60411
- Phone
- 7086685449
- Primary Specialty
-
Registered Nurse
163W00000X
Other Registered Nurse Providers in SAUK VILLAGE, IL
| Name | Credential | NPI |
|---|---|---|
| NADIA TURNER | BSN RN | 1265392849 |
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.