Jackson, Diane Regina

Jackson, Diane Regina is an sole proprietor health care provider with primary practice located at 1248 E Hillsborough Ave 221, Tampa FL 33604-7201. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Jackson, Diane Regina can be contacted via phone (813) 516-0679.

Contact Information

Primary practice address
1248 E Hillsborough Ave 221 Tampa FL 33604-7201
Phone: (813) 516-0679
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X ARNP2121402 Florida
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 364SA2200X ARNP2121402 Florida

Profile Details

NPI number 1467796128
LBN Legal business name Jackson, Diane Regina
Credentials ARNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 19th, 2012
Last updated Nov 20th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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