Individual
DIAMOND PITTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2273 S EASON BLVD, TUPELO, MS 38804-5900
(731) 394-1145
Mailing address
96 COUNTY ROAD 711, CORINTH, MS 38834-7347
(662) 415-5764
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
35871
TN
363LF0000X
Family Nurse Practitioner
Primary
906461
MS
Other
Enumeration date
11/09/2023
Last updated
03/03/2025
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