IndividualActive
Latrice Jackson
NPI 1174352280 · Registered Nurse · Sauk Village, IL
Latrice Jackson is a Registered Nurse provider in Sauk Village, IL (NPI 1174352280).
Provider details
- NPI number
- 1174352280
- Entity type
- Individual
- Primary specialty
- Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 041398810 (IL)
Practice location
2010 216th St
Sauk Village, IL 60411-4506
Phone: (708) 668-5449
Street-level locationGet directions
Mailing address
14200 S Parnell Ave
Riverdale, IL 60827-2313
Registry dates
- Enumerated
- 2024-07-29
- Last updated
- 2024-07-29
- Certified
- 2024-07-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.