MRS. Diane Lynn Jackson

NPI #1770777229 in Desoto, Texas

Provider Information

NPI Number: 1770777229
Entity Type: Individual
Name: MRS. Diane Lynn Jackson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Home Health
Enumeration Date: Aug 28, 2007
Last Updated: Aug 28, 2007

Practice Location

Address: 901 FROST HOLLOW DR
City: Desoto
State: Texas
ZIP Code: 75115-7412
Phone: (972) 230-3864

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health	251E00000X	Primary

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