Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Latanya Jackson, PBT

Individual provider Pathology Technician · NPI 1558072421

Latanya Jackson, PBT is a Pathology Technician in Clarksville, Tennessee. Practices as a sole proprietor. Licensed in Tennessee.

Licensed in
TN
In the registry since
2022

Practice location Address checks out

315 Providence Blvd
Clarksville, TN 37042-4325
Phone: (615) 300-3724
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pathology Technician (primary) Taxonomy 246R00000X · Licence 67093 (TN)

Record details

NPI number1558072421
Entity typeIndividual (Type 1)
GenderFemale
Credentials PBT
Sole proprietorYes
NPI enumeratedDecember 12, 2022
Last updated in NPPESDecember 12, 2022
Certification dateDecember 10, 2022
Mailing address1897 Eisenhower Rd, Clarksville, TN 37042-9583