Diane R Jackson (NPI# 1467796128, PAC ID# 0244484491) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1467796128 |
| PAC ID by PECOS | 0244484491 |
| Professional Enrollment ID | I20130218000041 |
| Full Name | Diane R Jackson |
| Address |
13154 Green Violet Dr Riverview FL 33579-7214 |
| Phone Number | 8135160679 |
| Gender | F |
| Graduation Year | 2012 |
| Primary Specialty | NURSE PRACTITIONER |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 13154 Green Violet Dr, Riverview, FL 33579-7214 | 8135160679 |
| Street Address |
13154 GREEN VIOLET DR |
| City | RIVERVIEW |
| State | FL |
| Zip | 33579-7214 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Linh T Nguyen | Internal Medicine | Tampa General Medical Group Inc | 10647 Big Bend Rd, Suite 212, Riverview, FL 33579-7176 |
| Nancy L Calderon-polanco | Nurse Practitioner | Tampa General Medical Group Inc | 10647 Big Bend Rd, Suite 212, Riverview, FL 33579-7176 |
| David J Vargas | Family Practice | Tampa General Medical Group Inc | 10647 Big Bend Rd, Suite 212, Riverview, FL 33579-7176 |
| Prema L Ramsahai | Family Practice | Tampa General Medical Group Inc | 10647 Big Bend Rd, Suite 212, Riverview, FL 33579-7176 |
| Mandy Sue Huster | Physical Therapy | Optimal Performance and Physical Therapies Riverview, LLC | 11375 Big Bend Rd, Riverview, FL 33579-7183 |
| Douglas D Buethe | Physical Therapy | Optimal Performance and Physical Therapies Riverview, LLC | 11375 Big Bend Rd, Riverview, FL 33579-7183 |
| Thomas Michael Braaten | Physical Therapy | Optimal Performance and Physical Therapies Riverview, LLC | 11375 Big Bend Rd, Riverview, FL 33579-7183 |
| Katelin A Smigielski | Physical Therapy | Optimal Performance and Physical Therapies Riverview, LLC | 11375 Big Bend Rd, Riverview, FL 33579-7183 |
| Collin Wallace | Physical Therapy | Optimal Performance and Physical Therapies Riverview, LLC | 11375 Big Bend Rd, Riverview, FL 33579-7183 |
| Stephanie M Bridwell | Physical Therapy | Optimal Performance and Physical Therapies Riverview, LLC | 11375 Big Bend Rd, Riverview, FL 33579-7183 |
| Find all physicians in zip 33579 | |||
| City | RIVERVIEW |
| Zip Code | 33579 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | RIVERVIEW + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Diane R Jackson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.