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

Mrs. Latosha Marie Jackson, HAIRSTYLIST

Individual provider Prosthetic/Orthotic Supplier · NPI 1215631676

Mrs. Latosha Marie Jackson, HAIRSTYLIST is a Prosthetic/Orthotic Supplier in Reno, Nevada. Practices as a sole proprietor. Licensed in Nevada.

Licensed in
NV
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

3710 Grant Dr Ste A
Reno, NV 89509-5317
Phone: (775) 786-0885
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetist (primary) Taxonomy 224P00000X (NV)
Prosthetic/Orthotic Supplier Taxonomy 335E00000X (NV)

Record details

NPI number1215631676
Entity typeIndividual (Type 1)
GenderFemale
Credentials HAIRSTYLIST
Sole proprietorYes
NPI enumeratedMarch 29, 2023
Last updated in NPPESMarch 31, 2023
Certification dateMarch 31, 2023

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