National Provider Identifier
Latasha Annette Jackson
Latasha Annette Jackson is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 267-6819.
Source: public NPPES record, last updated April 30, 2024. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1669228516
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- April 30, 2024
- Last Updated
- April 30, 2024
Practice Location
- 880 North St
- Rochester, NY 14605-1442
Phone: (585) 267-6819
Specialties
- Licensed Practical Nurse (164W00000X)
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Biography
Latasha Annette Jackson is a Rochester-based licensed practical nurse with a New York LPN credential listed in public provider records. New York’s Office of the Professions describes its license verification system as a primary-source database for professional licensure, and Jackson’s public provider record identifies her nursing role in Rochester.
Full Record
- NPI
- 1669228516
- Entity Type
- Individual
- Last Name
- Jackson
- First Name
- Latasha
- Middle Name
- Annette
- Name Prefix
- MS.
- Mailing Street Address
- 880 North St
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14605-1442
- Mailing Country
- US
- Mailing Phone
- (585) 267-6819
- Practice Street Address
- 880 North St
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14605-1442
- Practice Country
- US
- Practice Phone
- (585) 267-6819
- Enumeration Date
- April 30, 2024
- Last Updated
- April 30, 2024
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- April 30, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)