Dillard, Diana Lynn

Dillard, Diana Lynn is an individual health care provider with primary practice located at 1385 Medical Center Dr , Roanoke Rapids NC 27870-5130. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Dillard, Diana Lynn can be contacted via phone (252) 537-9176.

Contact Information

Primary practice address
1385 Medical Center Dr Roanoke Rapids NC 27870-5130
Phone: (252) 537-9176
Fax: (252) 537-6851
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0050-02800 North Carolina

Profile Details

NPI number 1093832388
LBN Legal business name Dillard, Diana Lynn
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2007
Last updated Apr 25th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093832388 NPPES
North Carolina Other 5002800 LICENSE
North Carolina MEDICAID 7004833 LICENSE

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