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Contact Information

LATICIA JACKSON, MPH
4400 BAYOU BLVD
SUITE 47B3
PENSACOLA, FL32503-2673
 Phone: 850-696-8069
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Health Educator

174H00000X
Indicates primary specialty

NPI Profile & details for LATICIA JACKSON · (Female)

NPI Number 1619325362
Status Active
Credentials MPH
Entity Individual
Enumeration date 06/02/2016
Last updated 06/02/2016 - About 10 years ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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