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

Latasha Jackson

Individual provider Personal Care Attendant · NPI 1205542107

Latasha Jackson is a Personal Care Attendant in Greenville, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2023
Specialties on file
2

Practice location Address checks out

5135 Deveron St Ste B
Greenville, NC 27834-7530
Phone: (252) 406-0576
Show map & directions

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

Specialties & licences

In Home Supportive Care Agency (primary) Taxonomy 253Z00000X · Licence HC7950 (NC)
Personal Care Attendant Taxonomy 3747P1801X

Record details

NPI number1205542107
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 25, 2023
Last updated in NPPESJune 1, 2025
Certification dateJune 1, 2025

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