J 4 DYNASTY, LLC
NPI 1760053441
Licensed Practical Nurse in Tampa, FL

Q: What is J 4 Dynasty, LLC's NPI number?

The NPI number for J 4 Dynasty, LLC is 1760053441. It was assigned to this organization in the NPPES registry on July 5, 2021.

Q: What is J 4 Dynasty, LLC's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for J 4 Dynasty, LLC was last updated on July 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 July 05, 2021

10150 HIGHLAND MANOR DR STE 200-106, TAMPA, FL 33610(813) 606-5010(877) 228-8577 Get Directions Write a Review

NPPES record last updated: July 5, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About J 4 Dynasty, Llc NPPES

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

J 4 DYNASTY, LLC (NPI 1760053441) is a healthcare organization registered as a licensed practical nurse in Tampa, Florida and active in the NPI registry since July 2021. The organization lists Latoria Clark-jackson, Owner/mgr, as its authorized official.

NPPES Registry Identity

NPI1760053441

Entity TypeOrganization

Primary Taxonomy164W00000X

Legal Business NameJ 4 DYNASTY, LLC

Location Address10150 HIGHLAND MANOR DR STE 200-106Tampa, FL 33610-9713

Mailing Address10150 Highland Manor Dr Ste 200-106Tampa, FL 33610-9713 · (813) 606-5010 · Fax (877) 228-8577

Phone(813) 606-5010

Fax(877) 228-8577

Organization SubpartNo

Authorized OfficialLatoria Clark-jacksonOwner/mgr · (813) 606-5010

Enumeration DateJuly 5, 2021

NPPES CertifiedJuly 2, 2021

✔ NPI 1760053441 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

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.

Also ListedIn Home Supportive CareTaxonomy 253Z00000X

Also ListedChore ProviderTaxonomy 372500000X

Also ListedAdult CompanionTaxonomy 372600000X

Also ListedHome Health AideTaxonomy 374U00000X

Also ListedHomemakerTaxonomy 376J00000X

10150 HIGHLAND MANOR DR STE 200-106, Tampa, FL 33610

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 J 4 Dynasty, LLC's NPI number?

The NPI number for J 4 Dynasty, LLC is 1760053441. It was assigned to this organization in the NPPES registry on July 5, 2021.

Where is J 4 Dynasty, LLC located?

J 4 Dynasty, LLC is located at 10150 Highland Manor Dr Ste 200-106, Tampa, FL 33610. The listed phone number is (813) 606-5010.

What is J 4 Dynasty, LLC'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 J 4 Dynasty, LLC was last updated on July 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.