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

Diana Jackson, LPN

Individual provider Licensed Practical Nurse · NPI 1962631424

Diana Jackson, LPN is a Licensed Practical Nurse in West Bloomfield, Michigan. Licensed in Michigan. Registered with an NPI since 2009.

Licensed in
MI
In the registry since
2009
What do these letters mean?
LPN — Licensed Practical Nurse
A licensed nurse who works under the direction of an RN or physician.

See every abbreviation used in this directory →

Practice location Address checks out

6628 Crescent Grn
West Bloomfield, MI 48322-1325
Phone: (248) 592-9803
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 4703092206 (MI)

Record details

NPI number1962631424
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPN
Sole proprietorNo
NPI enumeratedJuly 6, 2009
Last updated in NPPESJuly 6, 2009
Mailing address6628 Crescent Grn, West Bloomfield, MI 48322-1325

Other providers in West Bloomfield