National Provider Identifier Database

LATANYA JACKSON, PBT – NPI #1558072421
Technician, Pathology

An individual with knowledge of specific techniques and instruments who performs all of the routine tests in a medical laboratory and who has the ability to discriminate between similar factors that directly affect procedures and results.


Contact Information

LATANYA JACKSON, PBT
315 PROVIDENCE BLVD
CLARKSVILLE, TN37042-4325
Phone: 615-300-3724
Fax:
Website:
Specialty Taxonomy Code
* Technician, Pathology 246R00000X

* Indicates primary specialty

NPI Profile & details for LATANYA JACKSON

NPI Number 1558072421
Credentials PBT
Entity Individual
Enumeration date 12/12/2022
Last updated 12/12/2022 - About 3 years ago
Sole proprietor1 Yes
Identifiers
  • TN License #: 67093
Hospital affiliation n/a

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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