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

Mrs. Latrisha Renae Jackson

Individual provider Case Manager/Care Coordinator · NPI 1588396113

Mrs. Latrisha Renae Jackson is a Case Manager/Care Coordinator in Oklahoma City, Oklahoma. Practices as a sole proprietor. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

4501 N Classen Blvd Ste 106
Oklahoma City, OK 73118-4822
Phone: (405) 835-6757
Show map & directions

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

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1588396113
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 1, 2022
Last updated in NPPESJuly 1, 2022
Certification dateJune 30, 2022

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