Individual provider · Type 1 NPI

Lateshia Jackson

Psychiatric/Mental Health Nurse Practitioner · Easton, MD

NPI number 1063840262 Active

Practice location

8737 Brooks Dr Ste 108
Easton, MD 21601-7474

Fax (410) 443-4960

Mailing address

8142 Harold Ct
Glen Burnie, MD 21061-4960

Other practice locations

  • 505 E Main St, Salisbury, MD 21804-5020 · (410) 341-3420
  • 8142 Harold Ct, Glen Burnie, MD 21061 · (202) 253-3588
  • 2324 West Zion Road Suite 112, Suite 112, Salisbury, MD 21801 · (800) 867-2395
  • 514 Poplar St, Cambridge, MD 21613-1834 · (800) 867-2395
  • 200 Booth St, Elkton, MD 21921-5657 · (410) 996-3400

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XR193593 (MD)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1063840262

Lateshia Jackson's National Provider Identifier is 1063840262, issued on Oct 24, 2013. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Easton, MD. The record was last updated on Sep 18, 2019.