LATOYA JACKSON NPI 1659807477

NPI Information

  • NPI: 1659807477
  • Provider Name: LATOYA JACKSON
  • Classification: Point of Service - 305S00000X
  • Entity Type: Individual
  • Address: 5742 JODPHUR CT
    TALLAHASSEE, FL
    ZIP 32303
  • Phone: (850) 728-3413

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NPI Details

Latoya Jackson is a point of service in Tallahassee, FL. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. Latoya Jackson NPI is 1659807477. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5742 JODPHUR CT
TALLAHASSEE, FL
ZIP 32303-748
Phone: (850) 728-3413

The enumeration date for this NPI number is 5/11/2017 and was last updated on 5/11/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1302R00000XHealth Maintenance OrganizationNo
2305S00000XPoint of ServiceYes
31710I1002XMilitary Health Care ProviderIndependent Duty CorpsmanNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

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