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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LATASHA JACKSON

Active Sole Proprietor

LATASHA JACKSON is a In Home Supportive Care Agency healthcare provider located in GREENVILLE, North Carolina. NPI 1205542107 is currently active in the NPPES registry. Verify at CMS.

In Home Supportive Care Agency · GREENVILLE, NC

Registration Details

NPI Number
1205542107
Provider Type
Individual
Gender
Female
NPI Issued
Jan 25, 2023 (3.58810597886 yrs)
Last Updated
Jun 1, 2025
License
HC7950 (NC)
Sole Proprietor
Yes

Practice Information

Address
5135 DEVERON ST STE B
GREENVILLE, NC, 278347530
Browse NC providers · Browse ZIP 27834
Phone
2524060576
Primary Specialty
In Home Supportive Care Agency
253Z00000X

Other In Home Supportive Care Agency Providers in GREENVILLE, NC

Name Credential NPI
IKAMIE TAFT 1477179307
SHARONDA TRABETH NICHOLSON-BRADLEY RN 1114711835
KELECHI BASSEY 1245126663
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.