MS. DIANNE REGINA JACKSON M.D. NPI 1003193947

NPI Information

NPI: 1003193947
Provider Name: MS. DIANNE REGINA JACKSON, M.D.
Classification: General Practice - 208D00000X
Entity Type: Individual
Address:
9601 REISTERTOWN RD
OWINGS MILLS, MD
ZIP 21117
Phone: (301) 352-9763
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MS. Dianne Regina Jackson, M.D. is a general practice in Owings Mills, MD. The provider is 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 MS. Dianne Regina Jackson, M.D. NPI is 1003193947. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9601 REISTERTOWN RD
OWINGS MILLS, MD
ZIP 21117
Phone: (301) 352-9763

The enumeration date for this NPI number is 11/7/2011 and was last updated on 11/7/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice		D0039496	MARYLAND	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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