Individual provider · Type 1 NPI
Diane Regina Jackson, ARNP
Primary Care Nurse Practitioner · Tampa, FL
NPI number
1467796128
Active
Practice location
1248 E Hillsborough Ave, 221
Tampa, FL 33604-7201
Mailing address
27038 Sea Breeze Way
Zephyrhills, FL 33544-6617
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | ARNP2121402 (FL) |
| Adult Health Clinical Nurse Specialist | 364SA2200X | ARNP2121402 (FL) |
Primary Care Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1467796128
Diane Regina Jackson, ARNP's National Provider Identifier is 1467796128, issued on Nov 19, 2012. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Tampa, FL. The record was last updated on Nov 20, 2014.