LATRICE VERNICE JACKSON
NPI 1275800997
Counselor - Mental Health in Shawnee, OK

Active since November 23, 2011
1415 E 10TH ST, 2425 LENORE ST., SHAWNEE, OK 74801(405) 382-7623 Get Directions Write a Review

NPPES record last updated: January 21, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Latrice Vernice Jackson NPPES

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

LATRICE VERNICE JACKSON (NPI 1275800997) is an individual mental health provider in Shawnee, Oklahoma and active in the NPI registry since November 2011.

NPPES Registry Identity

NPI1275800997
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameLATRICE VERNICE JACKSON
Location Address1415 E 10TH ST, 2425 LENORE ST.Shawnee, OK 74801-7801
Mailing Address1415 E 10th St, 2425 Lenore St.Shawnee, OK 74801-7801 · (405) 382-7623
Sole ProprietorNo
Enumeration DateNovember 23, 2011
Last NPPES UpdateJanuary 21, 2016
NPI 1275800997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1415 E 10TH ST, Shawnee, OK 74801

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 Latrice Jackson's NPI number?

The NPI number for Latrice Jackson is 1275800997. It was assigned to this individual provider in the NPPES registry on November 23, 2011.

Where is Latrice Jackson located?

Latrice Jackson practices at 1415 E 10th St 2425 Lenore St., Shawnee, OK 74801. The listed phone number is (405) 382-7623.

What is Latrice Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Latrice Jackson was last updated on January 21, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.