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

Diane Marie Jackson, REGISTEREDNURSE

Individual provider Registered Nurse · NPI 1063768521

Diane Marie Jackson, REGISTEREDNURSE is a Registered Nurse in Cleveland, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2012

Practice location Address checks out

12517 Erwin Ave
Cleveland, OH 44135-3554
Phone: (216) 507-1400
Show map & directions

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

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence RN.370239 (OH)

Record details

NPI number1063768521
Entity typeIndividual (Type 1)
GenderFemale
Credentials REGISTEREDNURSE
Sole proprietorYes
NPI enumeratedAugust 1, 2012
Last updated in NPPESOctober 8, 2015

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