DIANE KAE JACKSON A.P.R.N. NPI 1487694089

NPI Information

  • NPI: 1487694089
  • Provider Name: DIANE KAE JACKSON, A.P.R.N.
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 727 E 1ST ST
    MINDEN, NE
    ZIP 68959
  • Phone: (308) 832-3400

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NPI Details

Diane Kae Jackson, A.P.R.N. is a family nurse practitioner in Minden, NE with 23 years of experience. Diane Kae Jackson, A.P.R.N. NPI is 1487694089. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: CREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2003

The provider's business location address is:

727 E 1ST ST
MINDEN, NE
ZIP 68959-705
Phone: (308) 832-3400

The NPI 1487694089 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/8/2006 and was last updated on 8/29/2023.

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
1363LF0000XNurse PractitionerFamily110613NEBRASKAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
147600743612MEDICAIDNEBRASKA
247600743622MEDICAIDNEBRASKA
347600743621MEDICAIDNEBRASKA
447600743623MEDICAIDNEBRASKA

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: 11/21/2025

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