LATAVIA JACKSON
NPI 1700536380
Technician - Personal Care Attendant in Shreveport, LA

Q: What is Latavia Jackson's NPI number?

The NPI number for Latavia Jackson is 1700536380. It was assigned to this individual provider in the NPPES registry on March 25, 2022.

Q: What is Latavia Jackson's specialty?

The primary specialty registered for this NPI is Technician, specializing in Personal Care Attendant, with taxonomy code 3747P1801X.

Q: When was this NPI record last updated?

The NPPES record for Latavia Jackson was last updated on March 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since March 25, 2022

264 WICHITA ST, SHREVEPORT, LA 71101(318) 254-3193 Get Directions Write a Review

NPPES record last updated: March 25, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Latavia Jackson NPPES

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

LATAVIA JACKSON (NPI 1700536380) is an individual personal care attendant in Shreveport, Louisiana, licensed in Louisiana (2203782259) and active in the NPI registry since March 2022.

NPPES Registry Identity

NPI1700536380

Entity TypeIndividualFemale

Primary Taxonomy3747P1801X

Provider Legal NameLATAVIA JACKSON

Location Address264 WICHITA STShreveport, LA 71101-4932

Mailing Address264 Wichita StShreveport, LA 71101-4932 · (318) 254-3193

Phone(318) 254-3193

Sole ProprietorNo

Enumeration DateMarch 25, 2022

NPPES CertifiedMarch 25, 2022

✔ NPI 1700536380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician · Personal Care AttendantNursing Service Related Providers

Taxonomy Code3747P1801X

License✔ Licensed in LA · 2203782259

Definition

An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards

264 WICHITA ST, Shreveport, LA 71101

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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 Latavia Jackson's NPI number?

The NPI number for Latavia Jackson is 1700536380. It was assigned to this individual provider in the NPPES registry on March 25, 2022.

Where is Latavia Jackson located?

Latavia Jackson practices at 264 Wichita St, Shreveport, LA 71101. The listed phone number is (318) 254-3193.

What is Latavia Jackson's specialty?

The primary specialty registered for this NPI is Technician, specializing in Personal Care Attendant, with taxonomy code 3747P1801X.

When was this NPI record last updated?

The NPPES record for Latavia Jackson was last updated on March 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.