Individual
DIANN RENEE LYDELL-JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA, FNP-C
Contact information
Practice address
101 S LIBERTY ST, RUSSIAVILLE, IN 46979-9125
(765) 864-8759
Mailing address
1 POINT LN, ARCADIA, IN 46030-9634
(317) 999-9999
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
71006851A
IN
367500000X
Certified Registered Nurse Anesthetist
Primary
28156532A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200474980
—
IN
Enumeration date
01/06/2006
Last updated
02/05/2026
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