Jackson, Diana L

Jackson, Diana L is an individual health care provider with primary practice located at 300 Main St , Lewiston ME 04240-7027. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Jackson, Diana L can be contacted via phone (207) 795-7575.

Contact Information

Primary practice address
300 Main St Lewiston ME 04240-7027
Phone: (207) 795-7575
Fax: (207) 795-7133
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X CNP171007 Maine
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X CNP171007 Maine
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X CNP171007 Maine

Profile Details

NPI number 1417498007
LBN Legal business name Jackson, Diana L
Credentials AGACNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2017
Last updated Mar 24th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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