Individual provider · Type 1 NPI

Latasha Jackson Claiborne, PMHNP

Registered Nurse · Vicksburg, MS

NPI number 1104104413 Active

Practice location

3444 Wisconsin Ave
Vicksburg, MS 39180-5331

Call (601) 638-0031 Map

Mailing address

1701 White St
Mccomb, MS 39648

Other practice locations

  • 1905 Mission 66, Vicksburg, MS 39180-3711 · (601) 738-5820
  • 1701 White St, Mccomb, MS 39648 · (601) 249-4214

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner 363LP0808X904842 (MS)
Registered Nurse Primary 163W00000X163W00000X (MS)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1104104413

Latasha Jackson Claiborne, PMHNP's National Provider Identifier is 1104104413, issued on Aug 3, 2011. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Vicksburg, MS. The record was last updated on Mar 17, 2023.