Individual provider · Type 1 NPI

Latrina Colleen Jackson, RN

Home Health Registered Nurse · Raleigh, NC

NPI number 1669987236 Active

Practice location

4922 Windy Hill Dr Ste A
Raleigh, NC 27609-5196

Fax (844) 747-4505

Other practice locations

  • 4922 Windy Hill Dr Ste A, Raleigh, NC 27609-5196 · (984) 200-9993

Specialties and licenses

TaxonomyCodeLicense
Case Management Registered Nurse 163WC0400X210120 (NC)
Infusion Therapy Registered Nurse 163WI0500X210120 (NC)
Psychiatric/Mental Health Registered Nurse 163WP0808X210120 (NC)
Home Health Registered Nurse Primary 163WH0200X210120 (NC)

Home Health Registered Nurse: Definition to come...

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About NPI 1669987236

Latrina Colleen Jackson, RN's National Provider Identifier is 1669987236, issued on Dec 5, 2017. The primary taxonomy on file is Home Health Registered Nurse (163WH0200X), and the practice location is in Raleigh, NC. The record was last updated on Mar 17, 2018.