Individual
DIANNA MICHELLE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
3920 PROMENADE PKWY STE A, DIBERVILLE, MS 39540-5368
(228) 456-0173
(228) 396-3862
Mailing address
3920 PROMENADE PKWY STE A, DIBERVILLE, MS 39540-5368
(228) 456-0173
(228) 396-3862
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R855162
MS
Other
Enumeration date
11/01/2014
Last updated
08/19/2020
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