LATICIA S JACKSON
NPI 1073236550
Non-emergency Medical Transport (VAN) in Dayton, OH

Active since September 20, 2022
4118 ANNAPOLIS AVE, DAYTON, OH 45416(937) 248-9741 Get Directions Write a Review

NPPES record last updated: September 20, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Laticia S Jackson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LATICIA S JACKSON (NPI 1073236550) is an individual non-emergency medical transport (van) provider in Dayton, Ohio, licensed in Ohio (RR641726) and active in the NPI registry since September 2022.

NPPES Registry Identity

NPI1073236550
Entity TypeIndividualFemale
Primary Taxonomy343900000X
Provider Legal NameLATICIA S JACKSON
Location Address4118 ANNAPOLIS AVEDayton, OH 45416-1505
Mailing Address4118 Annapolis AveDayton, OH 45416-1505 · (937) 248-9741
Sole ProprietorYes
Enumeration DateSeptember 20, 2022
NPPES CertifiedSeptember 20, 2022
NPI 1073236550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNon-emergency Medical Transport (VAN)Transportation Services
Taxonomy Code343900000X
License Licensed in OH · RR641726
Definition
A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.
4118 ANNAPOLIS AVE, Dayton, OH 45416

Other Identifiers 1

Medicaid0498434OH

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Laticia Jackson's NPI number?

The NPI number for Laticia Jackson is 1073236550. It was assigned to this individual provider in the NPPES registry on September 20, 2022.

Where is Laticia Jackson located?

Laticia Jackson practices at 4118 Annapolis Ave, Dayton, OH 45416. The listed phone number is (937) 248-9741.

What is Laticia Jackson's specialty?

The primary specialty registered for this NPI is Non-emergency Medical Transport (VAN) with taxonomy code 343900000X.

When was this NPI record last updated?

The NPPES record for Laticia Jackson was last updated on September 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.