Individual
DIANNA LYNN WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
7028 HIGHWAY 85, RIVERDALE, GA 30274-2946
(470) 444-3136
(470) 298-7730
Mailing address
PO BOX 740015, ATLANTA, GA 30374-0015
(312) 733-9730
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
4704160906
MI
363LF0000X
Family Nurse Practitioner
Primary
RN221863
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1144371279
—
MI
05
—
1396839981
—
MI
05
—
1871645309
—
MI
Enumeration date
07/21/2006
Last updated
07/17/2024
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