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

Latosha Jackson

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1720885155

Latosha Jackson is a Nurse Practitioner in Rosharon, Texas. Qualified in 2024, 2 years ago. Practices as a sole proprietor. Licensed in Texas.

Years since qualifying
2
Licensed in
TX
In the registry since
2025
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Practice location Address checks out

10603 Juniper Branch Dr
Rosharon, TX 77583-4216
Phone: (510) 853-4896
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 1180974 (TX)

Record details

NPI number1720885155
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 25, 2025
Last updated in NPPESFebruary 26, 2025
Certification dateFebruary 26, 2025
Mailing address10603 Juniper Branch Dr, Rosharon, TX 77583-4216

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

Other providers in Rosharon