DIANA JACKSON L.P.N.
NPI 1962631424
Licensed Practical Nurse in West Bloomfield, MI

Q: What is Diana Jackson's NPI number?

The NPI number for Diana Jackson is 1962631424. It was assigned to this individual provider in the NPPES registry on July 6, 2009.

Q: What is Diana Jackson's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Diana Jackson was last updated on July 6, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since July 06, 2009

6628 CRESCENT GRN, WEST BLOOMFIELD, MI 48322(248) 592-9803 Get Directions Write a Review

NPPES record last updated: July 6, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Diana Jackson L.p.n. NPPES

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

DIANA JACKSON L.P.N. (NPI 1962631424) is an individual licensed practical nurse in West Bloomfield, Michigan, licensed in Michigan (4703092206) and active in the NPI registry since July 2009.

NPPES Registry Identity

NPI1962631424

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameDIANA JACKSONCredential: L.P.N.

Location Address6628 CRESCENT GRNWest Bloomfield, MI 48322-1325

Mailing Address6628 Crescent GrnWest Bloomfield, MI 48322-1325 · (248) 592-9803

Phone(248) 592-9803

Sole ProprietorNo

Enumeration DateJuly 6, 2009

✔ NPI 1962631424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in MI · 4703092206

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

6628 CRESCENT GRN, West Bloomfield, MI 48322

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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 Diana Jackson's NPI number?

The NPI number for Diana Jackson is 1962631424. It was assigned to this individual provider in the NPPES registry on July 6, 2009.

Where is Diana Jackson located?

Diana Jackson practices at 6628 Crescent Grn, West Bloomfield, MI 48322. The listed phone number is (248) 592-9803.

What is Diana Jackson's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Diana Jackson was last updated on July 6, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.