Individual
MRS. DIANNA FORREST DOUGLASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
152 HIGHWAY 7 S, OXFORD, MS 38655-5392
(662) 234-7521
(662) 236-3071
Mailing address
58 COUNTY ROAD 373, WATER VALLEY, MS 38965-3740
(662) 202-4705
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
901761
MS
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
903689
MS
Other
Enumeration date
02/18/2016
Last updated
07/27/2021
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