Individual provider · Type 1 NPI
Diana L. Jackson, AGACNP
Family Nurse Practitioner · Lewiston, ME
NPI number
1417498007
Active
Practice location
300 Main St
Lewiston, ME 04240-7027
Fax (207) 795-7133
Other practice locations
- 887 Congress St Ste 400, Portland, ME 04102-3163 · (207) 774-6368
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | CNP171007 (ME) |
| Gerontology Nurse Practitioner | 363LG0600X | CNP171007 (ME) |
| Family Nurse Practitioner Primary | 363LF0000X | CNP171007 (ME) |
Family Nurse Practitioner: Definition to come...
264 other providers at this address
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Other family nurse practitioner providers in Lewiston
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- Angela Ann Umbro-Hussey, FNPFamily Nurse Practitioner Lewiston, ME NPI 1164830410
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- Christa Adams, FNPFamily Nurse Practitioner Lewiston, ME NPI 1215697891
About NPI 1417498007
Diana L. Jackson, AGACNP's National Provider Identifier is 1417498007, issued on Mar 15, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Lewiston, ME. The record was last updated on Mar 24, 2025.