LATRINA COLLEEN JACKSON RN NPI 1669987236

NPI Information

NPI: 1669987236
Provider Name: LATRINA COLLEEN JACKSON, RN
Classification: Registered Nurse - 163WH0200X
Entity Type: Individual

Specialization: Home Health

Address:
4922 WINDY HILL DR STE A
RALEIGH, NC
ZIP 27609
Phone: (984) 200-9993
Get Directions

Latrina Colleen Jackson, RN is a home health registered nurse in Raleigh, NC. Latrina Colleen Jackson, RN NPI is 1669987236. 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:

4922 WINDY HILL DR STE A
RALEIGH, NC
ZIP 27609-196
Phone: (984) 200-9993
Fax: (844) 747-4505

The enumeration date for this NPI number is 12/5/2017 and was last updated on 3/17/2018.

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
1	163WC0400X	Registered Nurse	Case Management	210120	NORTH CAROLINA	No
2	163WI0500X	Registered Nurse	Infusion Therapy	210120	NORTH CAROLINA	No
3	163WP0808X	Registered Nurse	Psychiatric/Mental Health	210120	NORTH CAROLINA	No
4	163WH0200X	Registered Nurse	Home Health	210120	NORTH CAROLINA	Yes

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: 4/28/2024

NPI Synchronization or Removal

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