Jackson, Lateshia
Jackson, Lateshia is an individual health care provider with primary practice located at 8737 Brooks Dr Ste 108 , Easton MD 21601-7474. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Jackson, Lateshia can be contacted via phone (800) 867-2395.Contact Information
Primary practice address
8737 Brooks Dr Ste 108
Easton MD 21601-7474
Phone: (800) 867-2395
Fax: (410) 443-4960
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | R193593 | Maryland |
Profile Details
| NPI number | 1063840262 |
|---|---|
| LBN Legal business name | Jackson, Lateshia |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 24th, 2013 |
| Last updated | Sep 18th, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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