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Mrs. Dianne Jackson, NP
Family Nurse Practitioner in Fort Dix, New Jersey
NPI 1922070655

Dianne Jackson is a Family Nurse Practitioner based in Sikeston, NJ and is specialized in Family. 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 (New Jersey).

The current practice location address for Dianne Jackson is 5250 New Jersey Ave, Fort Dix, NJ and can be reached out via phone at 609-562-6965.

Location: 5250 New Jersey Ave, Fort Dix, NJ, 63801-2443
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
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, 63801-2443
Phone Number
609-562-6965
Fax Number
Provider Enumeration Date
02/06/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
5250 New Jersey Ave
City
Fort Dix
State
New Jersey
Zip
08640-5017
Phone Number
609-562-6965
Fax Number
person
Provider Business Mailing Address Details
Address
5250 New Jersey Ave
City
Fort Dix
State
New Jersey
Zip
08640-5017
Phone Number
609-562-6965
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
098462 (Missouri)
Definition
Definition to come...
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