MRS. Latasha Jackson Claiborne, PMHNP
NPI #1104104413 in Vicksburg, Mississippi
Provider Information
- NPI Number
- 1104104413
- Entity Type
- Individual
- Name
- MRS. Latasha Jackson Claiborne, PMHNP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Registered Nurse
- Credential
- PMHNP
- Enumeration Date
- Aug 3, 2011
- Last Updated
- Mar 17, 2023
Practice Location
- Address
- 3444 WISCONSIN AVE
- City
- Vicksburg
- State
- Mississippi
- ZIP Code
- 39180-5331
- Phone
- (601) 638-0031
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
| Registered Nurse |
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