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Individual

DIANNA LOUISE TOMPKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
11820 BEACH BLVD, JACKSONVILLE, FL 32246-6670
(904) 642-9100
Mailing address
2974 LANTANA LAKES DR E, JACKSONVILLE, FL 32246-1816
(904) 631-4016

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
11012464
FL
163WP0808X
Psychiatric/Mental Health Registered Nurse
9430895
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11012464
FL

Other

Enumeration date
08/12/2020
Last updated
02/15/2022
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