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

Diana L Jackson, AGACNP

Individual provider Acute Care Nurse Practitioner · NPI 1417498007

Diana L Jackson, AGACNP is an Acute Care Nurse Practitioner in Lewiston, Maine. Works from 2 locations. Licensed in Maine.

Licensed in
ME
In the registry since
2017
Specialties on file
3

Practice location Address checks out

300 Main St
Lewiston, ME 04240-7027
Phone: (207) 795-7575
Fax: (207) 795-7133
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 887 Congress St Ste 400, Portland, ME 04102-3163 — (207) 774-6368

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence CNP171007 (ME)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence CNP171007 (ME)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence CNP171007 (ME)

Record details

NPI number1417498007
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP
Sole proprietorNo
NPI enumeratedMarch 15, 2017
Last updated in NPPESMarch 24, 2025
Certification dateMarch 24, 2025

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