Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1356050900 Individual Practitioner Female Practitioner

Diana C Jackson

Contractor • Greenacres, FL

Professional Overview & Biography Verified Profile Summary

Diana Jackson is a registered healthcare professional specializing in Contractor in Greenacres, FL. Practice services are available at 805 SKY PINE WAY APT E1 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

805 Sky Pine Way Apt E1

Greenacres, FL 334159024

Telephone 5612551686
Fax 8662560159

Specialty Benchmarks & Practice Insights

Comparative analytics for Contractor in Greenacres, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 25.0 Yrs
Regional Practice Density
3 Specialists

Practicing in Greenacres, FL (793 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-11-08
Contractor Primary Specialty

NUCC Taxonomy Code: 171W00000X

State License FL CCA9904651

A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active November 22, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location November 22, 2022

Registered at 805 SKY PINE WAY APT E1, GREENACRES, FL 334159024 (Tel: 5612551686)

📍
Updated Business Mailing Address November 22, 2022

Registered at PO BOX 19826, WEST PALM BEACH, FL 334164826 (Tel: 5612551686)

👤
Provider Name / Credentials Updated November 22, 2022

Recorded as DIANA JACKSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 22, 2022

Contractor (License #CCA9904651 in FL)

🟢
Initial NPI Registration & Enumeration November 22, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1356050900
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 22, 2022
Last Update: November 22, 2022
Sole Proprietor: Yes

Mailing Address

Po Box 19826

West Palm Beach, FL 334164826

Phone: 5612551686

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.