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Diane Kae Jackson, APRN
Family Nurse Practitioner in Minden, Nebraska
NPI 1487694089

Diane Kae Jackson is a Family Nurse Practitioner based in Minden, NE and is specialized in Family. Diane Kae Jackson practices in Minden, NE and has the professional credentials of APRN. The NPI Number for Diane Kae Jackson is 1487694089 and holds a License No. 110613 (Nebraska).

The current practice location address for Diane Kae Jackson is 727 E 1St St, Minden, NE and can be reached out via phone at 308-832-3400.

Location: 727 E 1St St, Minden, NE, 68959-1705
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487694089
Provider Name
Diane Kae Jackson
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
727 E 1St St, Minden, NE, 68959-1705
Phone Number
308-832-3400
Fax Number
Provider Enumeration Date
06/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
47600743612 05 NE
47600743622 05 NE
47600743621 05 NE
47600743623 05 NE
institution
Provider Business Practice Location Address Details
Address
727 E 1St St
City
Minden
State
Nebraska
Zip
68959-1705
Phone Number
308-832-3400
Fax Number
person
Provider Business Mailing Address Details
Address
727 E 1St St
City
Minden
State
Nebraska
Zip
68959-1705
Phone Number
308-832-3400
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
110613 (Nebraska)
Definition
Definition to come...
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