MS. Diana Marie Jackson, FNP
NPI #1083837843 in Fort Collins, Colorado
Provider Information
- NPI Number
- 1083837843
- Entity Type
- Individual
- Name
- MS. Diana Marie Jackson, FNP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- FNP
- Enumeration Date
- Apr 10, 2007
- Last Updated
- Mar 14, 2016
Practice Location
- Address
- 1025 PENNOCK PL
- City
- Fort Collins
- State
- Colorado
- ZIP Code
- 80524-3257
- Phone
- (970) 495-8800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
| Nurse Practitioner - Family — Family |
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