Individual provider · Type 1 NPI
Latasha Jackson, RN
Diabetes Educator Registered Nurse · Romeoville, IL
NPI number
1063324846
Active
Practice location
1581 Amaryllis Dr
Romeoville, IL 60446-5130
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diabetes Educator Registered Nurse Primary | 163WD0400X | 41367014 (IL) |
Diabetes Educator Registered Nurse: Definition to come...
About NPI 1063324846
Latasha Jackson, RN's National Provider Identifier is 1063324846, issued on Sep 17, 2026. The primary taxonomy on file is Diabetes Educator Registered Nurse (163WD0400X), and the practice location is in Romeoville, IL. The record was last updated on Sep 17, 2026.