Latoya Jackson
Latoya Jackson is an Independent Duty Corpsman in Tallahassee, Florida. Practices as a sole proprietor. Registered with an NPI since 2017.
- In the registry since
- 2017
- Specialties on file
- 3
Practice location Address checks out
5742 Jodphur CtTallahassee, FL 32303-6748
Phone: (850) 728-3413
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Point of Service (primary) | Taxonomy 305S00000X |
|---|---|
| Independent Duty Corpsman | Taxonomy 1710I1002X |
| Health Maintenance Organization | Taxonomy 302R00000X |
Record details
| NPI number | 1659807477 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | May 11, 2017 |
| Last updated in NPPES | May 11, 2017 |
| Mailing address | 5742 Jodphur Ct, Tallahassee, FL 32303-6748 |