Claiborne, Latasha Jackson

Claiborne, Latasha Jackson is an individual health care provider with primary practice located at 3444 Wisconsin Ave , Vicksburg MS 39180-5331. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Nursing Service Providers / Registered Nurse. Nursing Service Providers / Registered Nurse is her primary health care specialty. Claiborne, Latasha Jackson can be contacted via phone (601) 638-0031.

Contact Information

Primary practice address
3444 Wisconsin Ave Vicksburg MS 39180-5331
Phone: (601) 638-0031
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 904842 Mississippi
Nursing Service Providers / Registered Nurse 163W00000X 163W00000X Mississippi

Profile Details

NPI number 1104104413
LBN Legal business name Claiborne, Latasha Jackson
Credentials PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2011
Last updated Mar 17th, 2023 - about 3 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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