Diane Maxwell, NP

Nurse Practitioner · Jackson, TN

Individual Active NPI

NPI number 1063111672

Practice location

1385 S Highland Ave Ste B1
Jackson, TN 38301-7547
Phone
(731) 427-0470
Fax
(731) 427-0995

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NPI record

NPI
1063111672
Entity type
Individual (Type 1)
Enumeration date
March 2, 2023
Last updated
January 16, 2025
Certified
January 16, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Nurse Practitioner Primary 363L00000X APN0000036026 TN
Registered Nurse 163W00000X 0000243667 TN

About Diane Maxwell

Diane Maxwell, NP is a healthcare provider registered in the NPI registry with the primary taxonomy Nurse Practitioner (code 363L00000X). The practice location is 1385 S Highland Ave Ste B1, Jackson, TN 38301-7547. The NPI number 1063111672 was assigned on March 2, 2023 and the record was last updated on January 16, 2025.

Diane Maxwell lists 2 licenses in the registry: #APN0000036026 (TN) for Nurse Practitioner; #0000243667 (TN) for Registered Nurse. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Diane Maxwell, NP?

The NPI number is 1063111672.

What is the phone number of Diane Maxwell?

The phone number listed for the practice location is (731) 427-0470.

Where is Diane Maxwell located?

1385 S Highland Ave Ste B1, Jackson, TN 38301-7547.

What is the taxonomy code for Diane Maxwell?

The primary taxonomy code is 363L00000X – Nurse Practitioner; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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