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

Latisha Nichole Jackson

Individual provider Community Health Worker · NPI 1548446537

Latisha Nichole Jackson is a Community Health Worker in Oakland, California. Registered with an NPI since 2008.

In the registry since
2008

Practice location Address checks out

390 40th St
Oakland, CA 94609-2633
Phone: (510) 613-0330
Show map & directions

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

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X

Record details

NPI number1548446537
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 21, 2008
Last updated in NPPESJanuary 17, 2025
Certification dateJanuary 17, 2025
Mailing address390 40th St, Oakland, CA 94609-2633

Other providers in Oakland