Jackson, Latanya

Jackson, Latanya is an sole proprietor health care provider with primary practice located at 315 Providence Blvd , Clarksville TN 37042-4325. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Technician, Pathology, which is considered as her primary health care specialty. Jackson, Latanya can be contacted via phone (615) 300-3724.

Contact Information

Primary practice address
315 Providence Blvd Clarksville TN 37042-4325
Phone: (615) 300-3724
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Pathology 246R00000X 67093 Tennessee

Profile Details

NPI number 1558072421
LBN Legal business name Jackson, Latanya
Credentials PBT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 12th, 2022
Last updated Dec 12th, 2022 - about 4 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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