Diana Marie Jackson in Fort Collins - Nurse Practitioner
Diana Marie Jackson - NPI 1083837843
Diana Marie Jackson is a Nurse Practitioner in Fort Collins, Colorado. Diana Marie Jackson practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Diana Marie Jackson is 1083837843. The last update date is 2016-03-14.
Diana Marie Jackson's current location address is 1025 Pennock Pl, Fort Collins, Colorado. You can contact this provider via phone number 9704958800. The mailing address for Diana Marie Jackson is 1025 Pennock Pl, Fort Collins, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Diana Marie Jackson |
|---|---|
| Address | 1025 Pennock Pl, Fort Collins, Colorado |
| Phone Number | 9704958800 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | FNP |
NPI Number Detail
| NPI Number | 1083837843 |
|---|---|
| Provider Enumeration Date | 2007-04-10 |
| Last Updated Date | 2016-03-14 |
Provider Mailing Address Detail
| Address | 1025 Pennock Pl |
|---|---|
| City | Fort Collins |
| State | Colorado (CO) |
| Post Code | 805243257 |
| Phone Number | 9704958800 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 573806 |
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Definition: (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 certifi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 41101359 | CO | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Diana Marie Jackson by the Centers for Medicare & Medicaid Services?
The Diana Marie Jackson has been issued the NPI (National Provider Identifier) 1083837843, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Diana Marie Jackson?
The Diana Marie Jackson is situated at 1025 Pennock Pl, in the city of Fort Collins, state of CO, with the zip code 805243257.
What is Diana Marie Jackson's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Diana Marie Jackson is Nurse Practitioner, and the corresponding taxonomy classification code for this specialized field is 363L00000X.
When was the Diana Marie Jackson's 1083837843 issued?
The Diana Marie Jackson's 1083837843 was issued on 2007-04-10.
When was the Diana Marie Jackson's information last updated?
The Diana Marie Jackson's information was last updated on 2016-03-14.