Individual provider · Type 1 NPI

Diane Maxwell, NP

Nurse Practitioner · Jackson, TN

NPI number 1063111672 Active

Practice location

1385 S Highland Ave Ste B1
Jackson, TN 38301-7547

Fax (731) 427-0995

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X0000243667 (TN)
Nurse Practitioner Primary 363L00000XAPN0000036026 (TN)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1063111672

Diane Maxwell, NP's National Provider Identifier is 1063111672, issued on Mar 2, 2023. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Jackson, TN. The record was last updated on Jan 16, 2025.