# LATRINA COLLEEN JACKSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1669987236
- **Gender:** F
- **Credential:** RN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WC0400X | Case Management Registered Nurse | 210120 | NC | — |
| 163WH0200X | Home Health Registered Nurse | 210120 | NC | Yes |
| 163WI0500X | Infusion Therapy Registered Nurse | 210120 | NC | — |
| 163WP0808X | Psychiatric/Mental Health Registered Nurse | 210120 | NC | — |

## Other

- **Enumeration date:** 12/05/2017
- **Last updated:** 03/17/2018