Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Latanya Jackson, PBT

Individual provider Pathology Technician · NPI 1558072421

Latanya Jackson, PBT is a Pathology Technician in Clarksville, Tennessee. Practices as a sole proprietor. Licensed in Tennessee.

Licensed in
TN
In the registry since
2022

Practice location Address checks out

315 Providence Blvd
Clarksville, TN 37042-4325
Phone: (615) 300-3724
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pathology Technician (primary) Taxonomy 246R00000X · Licence 67093 (TN)

Record details

NPI number1558072421
Entity typeIndividual (Type 1)
GenderFemale
Credentials PBT
Sole proprietorYes
NPI enumeratedDecember 12, 2022
Last updated in NPPESDecember 12, 2022
Certification dateDecember 10, 2022