Search › Tennessee › 246R00000X
Latanya Jackson, PBT
NPI 1558072421 · on the registry since 2022 · sole proprietor
Practice
- Address
- 315 Providence Blvd
Clarksville, TN 37042 - Phone
- (615) 300-3724
Registry record
- Primary taxonomy
- 246R00000X
246R00000X
- Licence states on file
- TN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-12-12
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 Tennessee