Mrs. Dianne Jackson, NP
Nurse Practitioner, Family in Fort Dix, New Jersey
1922070655- Practice location
- 5250 New Jersey Ave, Fort Dix, NJ 08640-5017
- Phone
- 609-562-6965
- Fax
- —
- Last updated
- July 13, 2026
Dianne Jackson is a Nurse Practitioner, Family based in Fort Dix, NJ. Dianne Jackson practices in Fort Dix, NJ and has the professional credentials of NP. The NPI Number for Dianne Jackson is 1922070655 and holds a License No. 098462 (MO). The current practice location address for Dianne Jackson is 5250 New Jersey Ave, Fort Dix, NJ 08640-5017 and can be reached out via phone at 609-562-6965.
Provider Profile Details
- NPI Number
- 1922070655
- Provider Name
- Dianne Jackson
- Credential
- NP
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 5250 New Jersey Ave, Fort Dix, NJ 08640-5017
- Phone Number
- 609-562-6965
- Primary Taxonomy
- Nurse Practitioner, Family · 363LF0000X
- Sole Proprietor
- No
- Other Names
- Mrs. Dianne Jackson, FNP-C (Professional Name)
- Provider Enumeration Date
- February 6, 2006
- Last Update Date
- July 13, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 5250 New Jersey Ave
Fort Dix, NJ 08640-5017 - City
- Fort Dix
- State
- New Jersey
- Zip
- 08640-5017
- Phone Number
- 609-562-6965
Provider Business Mailing Address Details
- Address
- 507 John R Blvd
Sikeston, MO 63801-2443 - City
- Sikeston
- State
- MO
- Zip
- 63801-2443
- Phone Number
- 573-471-7113
License Information
- License Number
- 098462
- License State
- MO
- Taxonomy
- Nurse Practitioner, Family · 363LF0000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mrs. Dianne Jackson, NP?
The NPI number of Mrs. Dianne Jackson, NP is 1922070655. It was assigned on February 6, 2006 and is currently active in the NPPES registry.
What is the specialty of Mrs. Dianne Jackson, NP?
Mrs. Dianne Jackson, NP is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in MO under license number 098462.
Where does Mrs. Dianne Jackson, NP practice?
The practice location is 5250 New Jersey Ave, Fort Dix, NJ 08640-5017. The office can be reached at 609-562-6965 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1922070655 directly on the NPPES registry website.