Organization
JACKSON PSYCHIATRIC SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELSIE DIEGUEZ-JACKSON (OWNER/CERTIFIED NP)
(315) 289-6828
Entity
Organization
Contact information
Practice address
1500 MAIN STREET, #15024, SPRINGFIELD, MA 01115-5024
(413) 265-8714
(413) 225-8712
Mailing address
PO BOX 15024, SPRINGFIELD, MA 01115-5024
(413) 265-8714
(413) 225-8712
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/02/2024
Last updated
12/24/2025
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