Dianna Lynn White is a Family in Gray, Georgia. Dianna Lynn White practices all healthcare services and medical treatments related to Family. The NPI Number for Dianna Lynn White is 1578584256. The last update date is 2022-08-04.
Dianna Lynn White's current location address is 1005 Boulder Dr, Gray, Georgia. You can contact this provider via phone number 4786212100. The mailing address for Dianna Lynn White is 1005 Boulder Dr, Gray, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dianna Lynn White |
|---|---|
| Address | 1005 Boulder Dr, Gray, Georgia |
| Phone Number | 4786212100 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | FNP |
NPI Number Detail
| NPI Number | 1578584256 |
|---|---|
| Provider Enumeration Date | 2006-07-21 |
| Last Updated Date | 2022-08-04 |
Provider Mailing Address Detail
| Address | 1005 Boulder Dr |
|---|---|
| City | Gray |
| State | Georgia (GA) |
| Post Code | 310326141 |
| Phone Number | 4786212100 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | RN221863 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1396839981 | MI | -- | |
| 1144371279 | MI | -- | |
| 1871645309 | MI | -- |
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What is the Dianna Lynn White's unique identification number?
The Dianna Lynn White has been assigned the NPI (National Provider Identifier) Number 1578584256 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Dianna Lynn White?
The Dianna Lynn White is situated at 1005 Boulder Dr, in the city of Gray, state of GA, with the zip code 310326141.
What is Dianna Lynn White's area of expertise and its corresponding taxonomy classification?
The Dianna Lynn White's field of specialization is Family, and it falls under the taxonomy code 363Lf0000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Dianna Lynn White receive the assignment of its 1578584256 from the Centers for Medicare & Medicaid Services?
The Dianna Lynn White was issued its 1578584256 by the Centers for Medicare & Medicaid Services on 2006-07-21.
As of what date were the details pertaining to Dianna Lynn White last refreshed?
The information related to the Dianna Lynn White, including its address, specialty, and other relevant details, was last updated on 2022-08-04.