Jackson Psychiatric Services Pllc
NPI #1174353486 in Springfield, Massachusetts
Provider Information
- NPI Number
- 1174353486
- Entity Type
- Organization
- Organization Name
- Jackson Psychiatric Services Pllc
- Primary Specialty
- Nurse Practitioner - Psychiatric/Mental Health
- Enumeration Date
- Aug 2, 2024
- Last Updated
- Dec 24, 2025
Practice Location
- Address
- 1500 MAIN STREET
- Address 2
- #15024
- City
- Springfield
- State
- Massachusetts
- ZIP Code
- 01115-5024
- Phone
- (413) 265-8714
Authorized Official
- Name
- ELSIE DIEGUEZ-JACKSON
- Title
- OWNER/CERTIFIED NP
- Phone
- (315) 289-6828
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
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