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

Latoria Nicole Jackson

Individual provider Case Manager/Care Coordinator · NPI 1922500289

Latoria Nicole Jackson is a Case Manager/Care Coordinator in Loganville, Georgia. Practices as a sole proprietor. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
12
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Practice location Address checks out

4150 Alexis Ct
Loganville, GA 30052-9070
Phone: (678) 671-0078
Fax: (888) 948-2083
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Non-emergency Medical Transport (VAN) (primary) Taxonomy 343900000X
Case Manager/Care Coordinator Taxonomy 171M00000X
Case Management Agency Taxonomy 251B00000X
Developmentally Disabled Services Day Training Agency Taxonomy 251C00000X
Community/Behavioral Health Agency Taxonomy 251S00000X
Adult Day Care Clinic/Center Taxonomy 261QA0600X
Developmental Disabilities Clinic/Center Taxonomy 261QD1600X
Assisted Living Facility (Mental Illness) Taxonomy 3104A0625X
Intellectual and/or Developmental Disabilities Residential Treatment Facility Taxonomy 320600000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Taxonomy 320900000X
Adult Companion Taxonomy 372600000X
Day Training/Habilitation Specialist Taxonomy 373H00000X

Record details

NPI number1922500289
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 2, 2018
Last updated in NPPESMarch 2, 2018

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