Individual
ABBEY JOHNSON DICHIARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2323 5TH ST N, COLUMBUS, MS 39705-2213
(662) 368-1169
(662) 570-1492
Mailing address
2323 5TH ST N, COLUMBUS, MS 39705-2213
(662) 368-1169
(662) 570-1492
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R888625
MS
363LF0000X
Family Nurse Practitioner
20721
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20721
APN -TN LICENSE
TN
Enumeration date
11/30/2015
Last updated
07/10/2019
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