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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DIANA JACKSON, L.P.N.

Active

DIANA JACKSON, L.P.N. is a Licensed Practical Nurse healthcare provider located in WEST BLOOMFIELD, Michigan. NPI 1962631424 is currently active in the NPPES registry. Verify at CMS.

Licensed Practical Nurse · WEST BLOOMFIELD, MI

Registration Details

NPI Number
1962631424
Provider Type
Individual
Gender
Female
NPI Issued
Jul 6, 2009 (17.109992712669 yrs)
Last Updated
Jul 6, 2009
License
4703092206 (MI)

Practice Information

Address
6628 CRESCENT GRN
WEST BLOOMFIELD, MI, 483221325
Browse MI providers · Browse ZIP 48322
Phone
2485929803
Primary Specialty
Licensed Practical Nurse
164W00000X

Other Licensed Practical Nurse Providers in WEST BLOOMFIELD, MI

Name Credential NPI
TERRY J HALL LPN 1265606594
TASHA M DAVIS LPN 1396089546
REGINA DUKES 1407245764
CATINA GARRISON 1598157042
CHRISTOPHER SYKES 1154792026
DIXIE DOUGLAS 1144695503
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.