Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1538787353 Individual Practitioner Female Practitioner

Latoria Clark-Jackson , LPN

Licensed Practical Nurse • Gibsonton, FL

Professional Overview & Biography Verified Profile Summary

Latoria Clark-Jackson, LPN is a registered healthcare professional specializing in Licensed Practical Nurse in Gibsonton, FL. Practice services are available at 12802 KINGS LAKE DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12802 Kings Lake Dr

Gibsonton, FL 335343907

Telephone 8134004038
Associated Practice Facility / Clinic
🏢 Latoria Jackson, Llc Facility NPI 1518800481

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Gibsonton, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 3.0 Yrs
Regional Practice Density
2 Specialists

Practicing in Gibsonton, FL (1995 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-07-08
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License FL PN5151340

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2020

Registered at 12802 KINGS LAKE DR, GIBSONTON, FL 335343907 (Tel: 8134004038)

📍
Updated Business Mailing Address July 08, 2020

Registered at 12802 KINGS LAKE DR, GIBSONTON, FL 335343907

👤
Provider Name / Credentials Updated July 08, 2020

Recorded as LATORIA CLARK-JACKSON, LPN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2020

Licensed Practical Nurse (License #PN5151340 in FL)

🟢
Initial NPI Registration & Enumeration July 08, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1538787353
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 08, 2020
Last Update: July 08, 2020
Sole Proprietor: Yes

Mailing Address

12802 Kings Lake Dr

Gibsonton, FL 335343907

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.