Jackson, Dianne

Jackson, Dianne is an individual health care provider with primary practice located at 5250 New Jersey Ave , Fort Dix NJ 08640-5017. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Jackson, Dianne can be contacted via phone (609) 562-6965.

Contact Information

Primary practice address
5250 New Jersey Ave Fort Dix NJ 08640-5017
Phone: (609) 562-6965
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 098462 Missouri

Profile Details

NPI number 1922070655
LBN Legal business name Jackson, Dianne
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2006
Last updated Jul 8th, 2007 - about 17 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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