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

Latoria Nicole Jackson

Individual provider Case Manager/Care Coordinator · NPI 1922500289

Latoria Nicole Jackson is a Case Manager/Care Coordinator in Loganville, Georgia. Practices as a sole proprietor. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
12
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Practice location Address checks out

4150 Alexis Ct
Loganville, GA 30052-9070
Phone: (678) 671-0078
Fax: (888) 948-2083
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Non-emergency Medical Transport (VAN) (primary) Taxonomy 343900000X
Case Manager/Care Coordinator Taxonomy 171M00000X
Case Management Agency Taxonomy 251B00000X
Developmentally Disabled Services Day Training Agency Taxonomy 251C00000X
Community/Behavioral Health Agency Taxonomy 251S00000X
Adult Day Care Clinic/Center Taxonomy 261QA0600X
Developmental Disabilities Clinic/Center Taxonomy 261QD1600X
Assisted Living Facility (Mental Illness) Taxonomy 3104A0625X
Intellectual and/or Developmental Disabilities Residential Treatment Facility Taxonomy 320600000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Taxonomy 320900000X
Adult Companion Taxonomy 372600000X
Day Training/Habilitation Specialist Taxonomy 373H00000X

Record details

NPI number1922500289
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 2, 2018
Last updated in NPPESMarch 2, 2018
Mailing address4150 Alexis Ct, Loganville, GA 30052-9070

Other providers in Loganville