| NPI | 1104104413 |
|---|---|
| Professional Name | LATASHA JACKSON CLAIBORRNE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MS 163W00000X) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MS 904842) |
| Enumeration Date | 2011-08-03 |
| Last Update Date | 2023-03-17 |