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Diana Jackson
NPI 1356050900 · on the registry since 2022 · sole proprietor
Practice
- Address
- 805 Sky Pine Way Apt E1
Greenacres, FL 33415 - Phone
- (561) 255-1686
- Fax
- (866) 256-0159
Registry record
- Primary taxonomy
- 171W00000X
171W00000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-11-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida