National Provider Identifier
Diana Yashieka Jackson
Diana Yashieka Jackson is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 953-2235.
Profile Overview
- NPI
- 1255787594
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- May 05, 2016
- Last Updated
- May 05, 2016
Practice Location
- 973 Portland Ave
- Downstairs
- Rochester, NY 14621-4165
Phone: (585) 953-2235
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1255787594
- Entity Type
- Individual
- Last Name
- Jackson
- First Name
- Diana
- Middle Name
- Yashieka
- Mailing Street Address
- 973 Portland Ave
- Mailing Address Line 2
- Downstairs
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14621-4165
- Mailing Country
- US
- Mailing Phone
- (585) 953-2235
- Practice Street Address
- 973 Portland Ave
- Practice Address Line 2
- Downstairs
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14621-4165
- Practice Country
- US
- Practice Phone
- (585) 953-2235
- Enumeration Date
- May 05, 2016
- Last Updated
- May 05, 2016
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)