Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LATANYA JACKSON, PBT
Active Sole ProprietorLATANYA JACKSON, PBT is a Technician, Pathology healthcare provider located in CLARKSVILLE, Tennessee. NPI 1558072421 is currently active in the NPPES registry. Verify at CMS.
Technician, Pathology · CLARKSVILLE, TN
Registration Details
- NPI Number
- 1558072421
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 12, 2022 (3.6931177161242 yrs)
- Last Updated
- Dec 12, 2022
- License
-
67093 (TN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
315 PROVIDENCE BLVDCLARKSVILLE, TN, 370424325Browse TN providers · Browse ZIP 37042
- Phone
- 6153003724
- Primary Specialty
-
Technician, Pathology
246R00000X
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.