Newly enumerated
The official enumeration date falls within the documented new-enumeration window.
- Enumeration date is 43 days before observation
Type 1 individualNPI 1174457394
LAQUITA JACKSON LLBSW
104100000X · JACKSON, MI
Why this profile is appearing now
Observed change signals
Reported classification
Taxonomies
| Code | Description | Source flag |
|---|---|---|
| 104100000X | 104100000X | Primary |
| 101YM0800X | 101YM0800X | Additional |
Taxonomy reporting does not establish licensure, board certification, expertise, or quality.
Longitudinal record
Observed change timeline
- 0 recorded field change s