Individual provider · Type 1 NPI

Diana Marie Jackson, FNP

Family Nurse Practitioner · Fort Collins, CO

NPI number 1083837843 Active

Practice location

1025 Pennock Pl
Fort Collins, CO 80524-3257

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X573806 (CA)
Family Nurse Practitioner Primary 363LF0000XAPN.0004850-NP (CO)

Family Nurse Practitioner: Definition to come...

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About NPI 1083837843

Diana Marie Jackson, FNP's National Provider Identifier is 1083837843, issued on Apr 10, 2007. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Fort Collins, CO. The record was last updated on Mar 14, 2016.