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

Latasha Jackson, LPN

Individual provider Licensed Practical Nurse · NPI 1801369111

Latasha Jackson, LPN is a Licensed Practical Nurse in Milwaukee, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2019
What do these letters mean?
LPN — Licensed Practical Nurse
A licensed nurse who works under the direction of an RN or physician.

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Practice location Address checks out

4573 N 22nd St
Milwaukee, WI 53209-6309
Phone: (414) 517-2825
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 31744531 (WI)

Record details

NPI number1801369111
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPN
Sole proprietorYes
NPI enumeratedJanuary 9, 2019
Last updated in NPPESJanuary 9, 2019
Mailing address4573 N 22nd St, Milwaukee, WI 53209-6309

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