| Diane H Cousins, APRN | |
|
1610 10th St, Clark-holder Clinic, P.a., West Point, GA 31833 | |
| (706) 645-2300 | |
| (706) 645-2312 |
| Full Name | Diane H Cousins |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1610 10th St, West Point, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245343896 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | RN106393 (Georgia) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 1-067853 (Alabama) | Secondary |
| Entity Name | Emory Specialty Associates, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407864168 PECOS PAC ID: 3476559782 Enrollment ID: O20061010000447 |
| Mailing Address | Practice Location Address |
|---|---|
| Diane H Cousins, APRN 2733 Forest Rd, Greenville, GA 30222-2260 Ph: () - | Diane H Cousins, APRN 1610 10th St, Clark-holder Clinic, P.a., West Point, GA 31833 Ph: (706) 645-2300 |
Viviane St.cloud-noel, FNP-BC Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 501 E 4th St, West Point, GA 31833 Phone: 706-443-4711 | |
Chassidy Mercedes Russell, MSN, APRN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 901 Avenue C, West Point, GA 31833 Phone: 762-209-8009 |