Individual
DIANA DRUMWRIGHT DEDMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
5480 GOODMAN RD, OLIVE BRANCH, MS 38654-7902
(662) 893-9800
(662) 893-9827
Mailing address
5480 GOODMAN RD, OLIVE BRANCH, MS 38654-7902
(662) 893-9800
(662) 893-9827
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A810524
MS
363LF0000X
Family Nurse Practitioner
APN0000006640
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3649176
—
TN
Enumeration date
06/10/2006
Last updated
04/14/2015
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