Individual provider · Type 1 NPI
Latoya Jackson
Point of Service · Tallahassee, FL
NPI number
1659807477
Active
Practice location
5742 Jodphur Ct
Tallahassee, FL 32303-6748
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Independent Duty Corpsman | 1710I1002X | None listed |
| Health Maintenance Organization | 302R00000X | None listed |
| Point of Service Primary | 305S00000X | None listed |
Point of Service: This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
About NPI 1659807477
Latoya Jackson's National Provider Identifier is 1659807477, issued on May 11, 2017. The primary taxonomy on file is Point of Service (305S00000X), and the practice location is in Tallahassee, FL. The record was last updated on May 11, 2017.