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

Miss. Latrice Jackson

Individual provider Registered Nurse · NPI 1174352280

Miss. Latrice Jackson is a Registered Nurse in Sauk Village, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2024

Practice location Address checks out

2010 216th St
Sauk Village, IL 60411-4506
Phone: (708) 668-5449
Show map & directions

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

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 041398810 (IL)

Record details

NPI number1174352280
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 29, 2024
Last updated in NPPESJuly 29, 2024
Certification dateJuly 29, 2024
Mailing address14200 S Parnell Ave, Riverdale, IL 60827-2313

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