1. Home
  2. Directory
  3. Florida
  4. Gibsonton
  5. Licensed Practical Nurse
  6. NPI Profile

LATORIA CLARK-JACKSON LPN
NPI 1538787353
Licensed Practical Nurse in Gibsonton, FL

Active since July 08, 2020
12802 KINGS LAKE DR, GIBSONTON, FL 33534(813) 400-4038 Get Directions Write a Review

NPPES record last updated: July 8, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Latoria Clark-jackson Lpn NPPES

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

LATORIA CLARK-JACKSON LPN (NPI 1538787353) is an individual licensed practical nurse in Gibsonton, Florida, licensed in Florida (PN5151340) and active in the NPI registry since July 2020.

NPPES Registry Identity

NPI1538787353
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameLATORIA CLARK-JACKSONCredential: LPN
Location Address12802 KINGS LAKE DRGibsonton, FL 33534-3907
Mailing Address12802 Kings Lake DrGibsonton, FL 33534-3907
Phone(813) 400-4038
Sole ProprietorYes
Enumeration DateJuly 8, 2020
NPPES CertifiedJuly 8, 2020
✔ NPI 1538787353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in FL · PN5151340
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
12802 KINGS LAKE DR, Gibsonton, FL 33534
Open in Google Maps ↗

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LATORIA JACKSON, LLC
Custodial Care Facility (Adult Care Home)
12802 KINGS LAKE DR
GIBSONTON, FL 33534
Hillsborough County (866) 274-4600

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 Latoria Clark-jackson's NPI number?

The NPI number for Latoria Clark-jackson is 1538787353. It was assigned to this individual provider in the NPPES registry on July 8, 2020.

Where is Latoria Clark-jackson located?

Latoria Clark-jackson practices at 12802 Kings Lake Dr, Gibsonton, FL 33534. The listed phone number is (813) 400-4038.

What is Latoria Clark-jackson's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Latoria Clark-jackson was last updated on July 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.