Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LATOYA JACKSON
Active Sole ProprietorLATOYA JACKSON is a Point of Service healthcare provider located in TALLAHASSEE, Florida. NPI 1659807477 is currently active in the NPPES registry. Verify at CMS.
Point of Service · TALLAHASSEE, FL
Registration Details
- NPI Number
- 1659807477
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 11, 2017 (9.0765391089103 yrs)
- Last Updated
- May 11, 2017
- Sole Proprietor
- Yes
Practice Information
- Address
-
5742 JODPHUR CTTALLAHASSEE, FL, 323036748Browse FL providers · Browse ZIP 32303
- Phone
- 8507283413
- Primary Specialty
-
Point of Service
305S00000X
- Additional Specialty
- Health Maintenance Organization
- Additional Specialty
- Point of Service
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.