Dianna Lynn White, FNP | |
1005 Boulder Dr, Gray, GA 31032-6141 | |
(478) 621-2072 | |
Not Available |
Full Name | Dianna Lynn White |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1005 Boulder Dr, Gray, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578584256 | NPI | - | NPPES |
1396839981 | Medicaid | MI | |
1144371279 | Medicaid | MI | |
1871645309 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | RN221863 (Georgia) | Primary |
363LF0000X | Nurse Practitioner - Family | 4704160906 (Michigan) | Secondary |
Entity Name | Community Primary Care Of Georgia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336492511 PECOS PAC ID: 0648421065 Enrollment ID: O20121113000274 |
Entity Name | Viral Solutions Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275141467 PECOS PAC ID: 1850716945 Enrollment ID: O20200806001711 |
Mailing Address | Practice Location Address |
---|---|
Dianna Lynn White, FNP 1005 Boulder Dr, Gray, GA 31032-6141 Ph: (478) 621-2100 | Dianna Lynn White, FNP 1005 Boulder Dr, Gray, GA 31032-6141 Ph: (478) 621-2072 |
Natalie F Evans, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 260 W Clinton St, Gray, GA 31032 Phone: 478-986-4743 | |
Mrs. Brenda Gail Tolleson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1005 Boulder Dr, Gray, GA 31032 Phone: 478-621-2100 Fax: 478-744-0481 | |
Mrs. Leslie Busbee Miller, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1005 Boulder Dr, Gray, GA 31032 Phone: 478-621-2100 Fax: 478-744-0481 | |
Michael Kelly, APRN, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1005 Boulder Dr, Gray, GA 31032 Phone: 478-621-2100 Fax: 478-744-0481 | |
Mrs. Marie Rosemonde Nozil, MSN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1005 Boulder Dr, Gray, GA 31032 Phone: 678-334-7218 | |
Mrs. Catherine Marie Wilson, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1005 Boulder Dr, Gray, GA 31032 Phone: 478-621-2100 Fax: 478-744-0481 | |
Jennifer Lee Clark, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1005 Boulder Dr, Gray, GA 31032 Phone: 478-621-2100 Fax: 478-744-0481 |