IndividualActive
Latrina Jackson, RN
NPI 1669987236 · Home Health Registered Nurse · Raleigh, NC
Provider details
- NPI number
- 1669987236
- Entity type
- Individual
- Primary specialty
- Home Health Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- License
- 210120 (NC)
Practice location
4922 Windy Hill Dr Ste a
Raleigh, NC 27609-5196
Phone: (984) 200-9993
Fax: (844) 747-4505
Mailing address
4922 Windy Hill Dr Ste a
Raleigh, NC 27609-5196
Registry dates
- Enumerated
- 2017-12-05
- Last updated
- 2018-03-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.