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MS. DIANNE REGINA JACKSON M.D.
NPI 1003193947
General Practice in Owings Mills, MD

Active since November 07, 2011
9601 REISTERTOWN RD, OWINGS MILLS, MD 21117(301) 352-9763 Get Directions Write a Review

NPPES record last updated: November 7, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Dianne Regina Jackson M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. DIANNE REGINA JACKSON M.D. (NPI 1003193947) is an individual general practice provider in Owings Mills, Maryland, licensed in Maryland (D0039496) and active in the NPI registry since November 2011.

NPPES Registry Identity

NPI1003193947
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameMS. DIANNE REGINA JACKSONCredential: M.D.
Location Address9601 REISTERTOWN RDOwings Mills, MD 21117
Mailing AddressP.o. Box (561)Lanham, MD 20703 · (301) 352-9763
Phone(301) 352-9763
Sole ProprietorNo
Enumeration DateNovember 7, 2011
✔ NPI 1003193947 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in MD · D0039496
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
9601 REISTERTOWN RD, Owings Mills, MD 21117
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dianne Jackson's NPI number?

The NPI number for Dianne Jackson is 1003193947. It was assigned to this individual provider in the NPPES registry on November 7, 2011.

Where is Dianne Jackson located?

Dianne Jackson practices at 9601 Reistertown Rd, Owings Mills, MD 21117. The listed phone number is (301) 352-9763.

What is Dianne Jackson's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Dianne Jackson was last updated on November 7, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.