MEDICARE: JENNIFER L. LATSON NP

Medicare Provider Information

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	APN7942	TN
2	363L00000X	Nurse Practitioner	AP116310	TX

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	P00308250	OTHER	TN	RAILROAD MEDICARE

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4095108	OTHER	TN	BLUECROSS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

NPI Number	:	1538102181
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER L. LATSON NP

Provider Business Mailing Address
First Line	:	18951 N MEMORIAL DR
Second Line	:
City	:	HUMBLE
State	:	TX
Zip	:	77338-4217
Country	:	US
Telephone Number	:	713-338-6565
Fax Number	:

Provider Business Practice Location Address
First Line	:	18951 N MEMORIAL DR
Second Line	:
City	:	HUMBLE
State	:	TX
Zip	:	77338-4217
Country	:	US
Telephone Number	:	281-540-7700
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/13/2006
Last Update Date	:	09/17/2024

18951 N MEMORIAL DR STE 103W
HUMBLE, TX
77338-4217

Practice Phone: 281-540-8409
Practice Fax: