Individual provider · Type 1 NPI

Diana C. Jackson

Contractor · Greenacres, FL

NPI number 1356050900 Active

Practice location

805 Sky Pine Way Apt E1
Greenacres, FL 33415-9024

Fax (866) 256-0159

Mailing address

PO Box 19826
West Palm Beach, FL 33416-4826

Specialties and licenses

TaxonomyCodeLicense
Contractor Primary 171W00000XCCA9904651 (FL)

Contractor: For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no re…

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About NPI 1356050900

Diana C. Jackson's National Provider Identifier is 1356050900, issued on Nov 22, 2022. The primary taxonomy on file is Contractor (171W00000X), and the practice location is in Greenacres, FL. The record was last updated on Nov 22, 2022.