DIANA JACKSON, AGACNP
Nurse Practitioner - Family
Active
Individual
NPI: 1417498007
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse Practitioner - Acute Care | 363LA2100X | No | CNP171007 (ME) |
| Nurse Practitioner - Gerontology | 363LG0600X | No | CNP171007 (ME) |
| Nurse Practitioner - Family | 363LF0000X | Yes | CNP171007 (ME) |
Frequently Asked Questions
NPI 1417498007 is the National Provider Identifier for DIANA JACKSON, AGACNP, a Nurse Practitioner - Family provider located in Lewiston, ME. This NPI was enumerated on March 15, 2017.
DIANA JACKSON, AGACNP practices at 300 MAIN ST, Lewiston, ME 04240.
Quick Facts
- NPI
- 1417498007
- Type
- Individual
- Enumerated
- Mar 15, 2017
- Last Updated
- Mar 24, 2025
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