DIANA L JACKSON

LEWISTON, ME
NPI1417498007
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: ME  CNP171007)
Additional Taxonomies363LA2100X Nurse Practitioner, Acute Care
(Licence: ME  CNP171007)
363LG0600X Nurse Practitioner, Gerontology
(Licence: ME  CNP171007)
Enumeration Date2017-03-15
Last Update Date2025-03-24
Business Address
DIANA L JACKSON AGACNP
300 MAIN ST
LEWISTON, ME 04240-7027
Phone number: 207-795-7575
Mailing Address
DIANA L JACKSON AGACNP
300 MAIN ST
LEWISTON, ME 04240-7027
Phone number: 207-795-7575