MRS. Dianne Jackson, NP
NPI #1922070655 in Fort Dix, New Jersey
Provider Information
- NPI Number
- 1922070655
- Entity Type
- Individual
- Name
- MRS. Dianne Jackson, NP
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- NP
- Enumeration Date
- Feb 6, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 5250 NEW JERSEY AVE
- City
- Fort Dix
- State
- New Jersey
- ZIP Code
- 08640-5017
- Phone
- (609) 562-6965
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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