Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Diana C Jackson

Individual provider Contractor · NPI 1356050900

Diana C Jackson is a Contractor in Greenacres, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2022
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Practice location Address checks out

805 Sky Pine Way Apt E1
Greenacres, FL 33415-9024
Phone: (561) 255-1686
Fax: (866) 256-0159
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Contractor (primary) Taxonomy 171W00000X · Licence CCA9904651 (FL)

Record details

NPI number1356050900
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 22, 2022
Last updated in NPPESNovember 22, 2022
Certification dateNovember 8, 2022
Mailing addressPo Box 19826, West Palm Beach, FL 33416-4826

Other providers in Greenacres