| Diana Drumwright Dedmon, FNP | |
|
5480 Goodman Rd, Olive Branch, MS 38654-7902 | |
| (662) 893-9800 | |
| (662) 893-9827 |
| Full Name | Diana Drumwright Dedmon |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 5480 Goodman Rd, Olive Branch, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457393183 | NPI | - | NPPES |
| 3649176 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APN0000006640 (Tennessee) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | A810524 (Mississippi) | Primary |
| Entity Name | Methodist Healthcare Community Care Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194839241 PECOS PAC ID: 0941113757 Enrollment ID: O20031107000488 |
| Entity Name | University Of Tennessee |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174221337 PECOS PAC ID: 3072421213 Enrollment ID: O20231222001277 |
| Mailing Address | Practice Location Address |
|---|---|
| Diana Drumwright Dedmon, FNP 5480 Goodman Rd, Olive Branch, MS 38654-7902 Ph: (662) 893-9800 | Diana Drumwright Dedmon, FNP 5480 Goodman Rd, Olive Branch, MS 38654-7902 Ph: (662) 893-9800 |
Carolyn Wong, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4064 Sidlehill Dr, Olive Branch, MS 38654 Phone: 601-842-9006 | |
Brittany Nikita Carper, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6674 Goodman Rd, Olive Branch, MS 38654 Phone: 662-985-7806 | |
Jennifer C Sanders, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5480 Goodman Rd Ste 1, Olive Branch, MS 38654 Phone: 662-874-6507 Fax: 662-932-8197 | |
Mrs. Misty Moore Ivy, C.R.N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7203 Goodman Rd, Olive Branch, MS 38654 Phone: 901-759-2322 | |
Wanda Brown, WHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4240 Bethel Rd Ste 101, Olive Branch, MS 38654 Phone: 662-932-9544 Fax: 662-932-9554 | |
Kori Swearengen, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9075 Sandidge Center Cv, Olive Branch, MS 38654 Phone: 662-895-4949 Fax: 662-895-6776 | |
Queen Mcghee, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4250 Bethel Rd, Olive Branch, MS 38654 Phone: 662-932-9111 |