Latosha Jackson
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
Practice location Address checks out
10603 Juniper Branch DrRosharon, 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 number | 1720885155 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | February 25, 2025 |
| Last updated in NPPES | February 26, 2025 |
| Certification date | February 26, 2025 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2024 (2 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 3 on file with Medicare |
Payments from drug and device companies, 2025
| Food and Beverage | $28 |
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