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

Latasha Collins, CFNP

Individual provider Family Nurse Practitioner · NPI 1780089649

Latasha Collins, CFNP is a Nurse Practitioner in Jackson, Mississippi. Qualified in 2014, 12 years ago. Practices with River Oaks Management Company LLC, a 34-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
12
Licensed in
MS
In the registry since
2014
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Practice location Address checks out

969 Lakeland Dr
Jackson, MS 39216-4606
Phone: (601) 200-3631
Fax: (601) 200-0159
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 871496 (MS)

Record details

NPI number1780089649
Entity typeIndividual (Type 1)
GenderFemale
Credentials CFNP
Sole proprietorNo
NPI enumeratedNovember 4, 2014
Last updated in NPPESJuly 10, 2024
Certification dateJuly 10, 2024
Mailing address5959 S Sherwood Forest Blvd, Baton Rouge, LA 70816-6038

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice River Oaks Management Company Llc — 34 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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