Dedmon, Diana Drumwright

Dedmon, Diana Drumwright is an individual health care provider with primary practice located at 5480 Goodman Rd , Olive Branch MS 38654-7902. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Dedmon, Diana Drumwright can be contacted via phone (662) 893-9800.

Contact Information

Primary practice address
5480 Goodman Rd Olive Branch MS 38654-7902
Phone: (662) 893-9800
Fax: (662) 893-9827
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APN0000006640 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X A810524 Mississippi

Profile Details

NPI number 1457393183
LBN Legal business name Dedmon, Diana Drumwright
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2006
Last updated Apr 14th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457393183 NPPES
Tennessee MEDICAID 3649176

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