Jackson, Laticia

Jackson, Laticia is an sole proprietor health care provider with primary practice located at 4400 Bayou Blvd Suite 47B3, Pensacola FL 32503-2673. She recently has only one registered license in Other Service Providers / Health Educator, which is considered as her primary health care specialty. Jackson, Laticia can be contacted via phone (850) 696-8069.

Contact Information

Primary practice address
4400 Bayou Blvd Suite 47B3 Pensacola FL 32503-2673
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Health Educator 174H00000X

Profile Details

NPI number 1619325362
LBN Legal business name Jackson, Laticia
Credentials MPH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 2nd, 2016
Last updated Jun 2nd, 2016 - about 9 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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