Search › North Carolina › 253Z00000X
Latasha Jackson
NPI 1205542107 · on the registry since 2023 · sole proprietor
Practice
- Address
- 5135 Deveron St Ste B
Greenville, NC 27834 - Phone
- (252) 406-0576
Registry record
- Primary taxonomy
- 253Z00000X
253Z00000X
- Also registered as
- 3747P1801X
- Licence states on file
- NC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-06-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina