Lateshia Jackson
NPI 1063840262 · Psychiatric/Mental Health Nurse Practitioner · Easton, MD
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lateshia Jackson is a Psychiatric/Mental Health Nurse Practitioner provider in Easton, MD (NPI 1063840262).
Provider details
- NPI number
- 1063840262
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- R193593 (MD)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
6 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (5)
- 514 Poplar StCambridge, MD 21613-1834Phone: (800) 867-2395Fax: (410) 443-0842
- 200 Booth StElkton, MD 21921-5657Phone: (410) 996-3400
- 8142 Harold CtGlen Burnie, MD 21061Phone: (202) 253-3588
- 505 E Main StSalisbury, MD 21804-5020Phone: (410) 341-3420
- 2324 West Zion Road Suite 112Suite 112Salisbury, MD 21801Phone: (800) 867-2395Fax: (410) 443-0842
Registry dates
- Enumerated
- 2013-10-24
- Last updated
- 2019-09-18
Frequently asked questions
- What is Lateshia Jackson's NPI number?
- Lateshia Jackson's National Provider Identifier (NPI) is 1063840262, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Lateshia Jackson's specialty?
- Lateshia Jackson is listed in the NPPES registry with a primary specialty of Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Lateshia Jackson located?
- Lateshia Jackson's practice location on file with NPPES is 8737 Brooks Dr Ste 108, Easton, MD 21601-7474.
- What is Lateshia Jackson's phone number?
- The practice phone number listed in the NPPES registry for Lateshia Jackson is (800) 867-2395.
- Does Lateshia Jackson accept Medicare?
- Lateshia Jackson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Lateshia Jackson's NPI active?
- Yes — Lateshia Jackson's NPI (1063840262) is active in the NPPES registry as of the last update on 2019-09-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.