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

MS. Diana Marie Jackson, FNP

Individual provider Nurse Practitioner · NPI 1083837843

MS. Diana Marie Jackson, FNP is a Nurse Practitioner in Fort Collins, Colorado. Qualified in 2000, 26 years ago. Practices with Poudre Valley Health Care Inc, a 57-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California and Colorado.

Years since qualifying
26
Licensed in
CA, CO
In the registry since
2007
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

1025 Pennock Pl
Fort Collins, CO 80524-3257
Phone: (970) 495-8800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APN.0004850-NP (CO)
Nurse Practitioner Taxonomy 363L00000X · Licence 573806 (CA)

Record details

NPI number1083837843
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedApril 10, 2007
Last updated in NPPESMarch 14, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Poudre Valley Health Care Inc — 57 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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