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

Latavia Jackson

Individual provider Personal Care Attendant · NPI 1700536380

Latavia Jackson is a Personal Care Attendant in Shreveport, Louisiana. Licensed in Louisiana. Registered with an NPI since 2022.

Licensed in
LA
In the registry since
2022

Practice location Address checks out

264 Wichita St
Shreveport, LA 71101-4932
Phone: (318) 254-3193
Show map & directions

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

Specialties & licences

Personal Care Attendant (primary) Taxonomy 3747P1801X · Licence 2203782259 (LA)

Record details

NPI number1700536380
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 25, 2022
Last updated in NPPESMarch 25, 2022
Certification dateMarch 25, 2022
Mailing address264 Wichita St, Shreveport, LA 71101-4932

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