Jackson, Latoya

Jackson, Latoya is an sole proprietor health care provider with primary practice located at 5742 Jodphur Ct , Tallahassee FL 32303-6748. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Independent Duty Corpsman, Managed Care Organizations / Health Maintenance Organization, Managed Care Organizations / Point of Service. Managed Care Organizations / Point of Service is her primary health care specialty. Jackson, Latoya can be contacted via phone (850) 728-3413.

Contact Information

Primary practice address
5742 Jodphur Ct Tallahassee FL 32303-6748
Phone: (850) 728-3413
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X
Managed Care Organizations / Health Maintenance Organization 302R00000X
Managed Care Organizations / Point of Service 305S00000X

Profile Details

NPI number 1659807477
LBN Legal business name Jackson, Latoya
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 11th, 2017
Last updated May 11th, 2017 - about 7 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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