Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LATORIA CLARK-JACKSON, LPN
Active Sole ProprietorLATORIA CLARK-JACKSON, LPN is a Licensed Practical Nurse healthcare provider located in GIBSONTON, Florida. NPI 1538787353 is currently active in the NPPES registry. Verify at CMS.
Licensed Practical Nurse · GIBSONTON, FL
Registration Details
- NPI Number
- 1538787353
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 8, 2020 (6.0624012841034 yrs)
- Last Updated
- Jul 8, 2020
- License
-
PN5151340 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
12802 KINGS LAKE DRGIBSONTON, FL, 335343907Browse FL providers · Browse ZIP 33534
- Phone
- 8134004038
- Primary Specialty
-
Licensed Practical Nurse
164W00000X
Other Licensed Practical Nurse Providers in GIBSONTON, FL
| Name | Credential | NPI |
|---|---|---|
| MRS. TONI LAVON ALLEN | LPN | 1063747426 |
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.