Darian Jackson
Specialist · Temple Terrace, FL
Practice location
6610 E Fowler AveTemple Terrace, FL 33617-2443
- Phone
- (813) 377-5836
NPI record
- NPI
- 1245711472
- Entity type
- Individual (Type 1)
- Enumeration date
- August 25, 2018
- Last updated
- August 25, 2018
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X |
CL1228030 | FL |
About Darian Jackson
Darian Jackson is a healthcare provider registered in the NPI registry with the primary taxonomy Specialist (code 174400000X). The practice location is 6610 E Fowler Ave, Temple Terrace, FL 33617-2443. The NPI number 1245711472 was assigned on August 25, 2018 and the record was last updated on August 25, 2018.
Darian Jackson lists a license in the registry: #CL1228030 (FL) for Specialist. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Darian Jackson?
The NPI number is 1245711472.
What is the phone number of Darian Jackson?
The phone number listed for the practice location is (813) 377-5836.
Where is Darian Jackson located?
6610 E Fowler Ave, Temple Terrace, FL 33617-2443.
What is the taxonomy code for Darian Jackson?
The primary taxonomy code is 174400000X – Specialist.
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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- PRN Health Services, PC705 West River Dr.
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