Mrs. Latasha Jackson Claiborne
PMHNP | Nurse Practitioner - Psych/Mental Health
3444 Wisconsin Ave, Vicksburg
Mississippi, 39180-5331
601-638-0031
Mrs. Latasha Jackson Claiborne is a Vicksburg, Mississippi based nurse practitioner who is specialized as Psych/Mental Health nurse. Active license number of Mrs. Latasha Jackson Claiborne is 163W00000X for Nurse Practitioner in Mississippi. Her current practice location is 3444 Wisconsin Ave, Vicksburg. Patients can reach her at 601-638-0031. Mrs. Latasha Jackson Claiborne is PMHNP with specialization in Psych/Mental Health and her NPI number (Unique professional ID assigned by NPPES) is 1104104413.
Mrs. Latasha Jackson Claiborne provides a full range of primary mental health care services, including biopsychosocial assessment and diagnosis of patients with mental illness and co-occurring disorders. Treatment modalities include both medication and psychotherapeutic management. Psych/Mental Health Nurse Practitioner (PMHNP) works in a variety of settings, including inpatient, emergency and community-based mental health services.
Complete Profile:
Mrs. Latasha Jackson Claiborne speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Mrs. Latasha Jackson Claiborne |
| Specialization: | Psych/Mental Health Nurse Practitioner (PMHNP) |
| Gender: | Female |
| Credentials: | PMHNP |
| Practice Address: | 3444 Wisconsin Ave, Vicksburg,
Mississippi, 39180-5331 |
| Phone: | 601-638-0031 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1104104413 |
| NPI Enumeration Date: | 03 Aug, 2011 |
| NPI Last Update On: | 17 Mar, 2023 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mrs. Latasha Jackson Claiborne are as mentioned below.
| License Number | Specialization | State | Status | |
| 163W00000X | Nurse Practitioner | Mississippi | Primary | |
| 904842 | Psych/Mental Health | Mississippi | Secondary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Mrs. Latasha Jackson Claiborne
1701 White St,
Mccomb, Mississippi |
| Zip: | 39648 |
| Phone Number: | 601-249-4214 |
| Fax Number: | 601-249-1062 |
Patients can reach Mrs. Latasha Jackson Claiborne at
3444 Wisconsin Ave, Vicksburg, Mississippi or can
call to book an appointment on 601-638-0031.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.