Latasha Rachele Jackson, MSN, APRN, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

APRN-NP316286 Issued in GA

Practice address

1870 The Exchange SE
Atlanta, GA 30339-2036

Phone

(943) 300-5764

NPI assigned

Aug 3, 2026

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Embers of Peace & Wellness LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Atlanta, GA
  • NPI 1356264600
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1785715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785715200000",
    "number": "1518880814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1870 THE EXCHANGE SE STE 220",
            "address_2": "STE 220 PMB 228776",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303392171",
            "telephone_number": "943-300-5764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1870 THE EXCHANGE SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303392036",
            "telephone_number": "943-300-5764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "LATASHA",
        "middle_name": "RACHELE",
        "credential": "MSN, APRN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-03",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "APRN-NP316286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kira Jackson
• Kristy Lee Jackson, RN
• Ladeania Lilth Jackson, RN
• Lana Jean Jackson, P.A.
• Larette Denise Jackson, CRNA
• Latisha Ranae Jackson
• Lauren Victoria Jackson, OD
• Leo Jackson III, PT
• Leopold L Jackson, MD
• Lorraine T. Jackson, SLP/CCC

• Psychiatric/Mental Health Nurse Practitioner in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.