Individual Healthcare Provider
Lateshia Jackson
Provider's NPPES record last updated: September 18, 2019
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1063840262
- Primary Specialty
- Nurse Practitioner — Psychiatric/Mental Health
- Practice Location
- Easton, Maryland
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 20, 2026, 4:27 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Nurse Practitioner
Psychiatric/Mental Health
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363LP0808X
Provider-Reported License Information
- Nurse Practitioner (Maryland)
- R193593
Practice Locations
Practice Location
8737 Brooks Dr Ste 108
Easton, Maryland 21601-7474
Phone: (800) 867-2395
Additional Practice Location
505 E Main St
Salisbury, Maryland 21804-5020
Phone: (410) 341-3420
Additional Practice Location
8142 Harold Ct
Glen Burnie, Maryland 21061
Phone: (202) 253-3588
Additional Practice Location
2324 West Zion Road Suite 112
Suite 112
Salisbury, Maryland 21801
Phone: (800) 867-2395
Fax: (410) 443-0842
Additional Practice Location
514 Poplar St
Cambridge, Maryland 21613-1834
Phone: (800) 867-2395
Fax: (410) 443-0842
Additional Practice Location
200 Booth St
Elkton, Maryland 21921-5657
Phone: (410) 996-3400
Record Information
- Enumeration Date
- October 24, 2013
- Provider's NPPES Record Last Updated
- September 18, 2019
- NPISignal NPPES Dataset
- August 2026
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