Yancey, Diana

Yancey, Diana is an individual health care provider with primary practice located at 495 Dunlop Ln Ste 106 , Clarksville TN 37040-5296. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Yancey, Diana can be contacted via phone (808) 369-5606.

Contact Information

Primary practice address
495 Dunlop Ln Ste 106 Clarksville TN 37040-5296
Phone: (808) 369-5606
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 90290 Tennessee

Profile Details

NPI number 1982289518
LBN Legal business name Yancey, Diana
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2021
Last updated Mar 15th, 2021 - about 3 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 1982289518 NPPES
Tennessee MEDICAID 90290

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