| Oumou Nikki Diallo, CRNP | |
| 
					500 University Dr, Hershey, PA 17033-2360  | |
| (717) 531-8024 | |
| (717) 531-0882 | 
| Full Name | Oumou Nikki Diallo | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner | 
| Location | 500 University Dr, Hershey, Pennsylvania | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1558006635 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 163W00000X | Registered Nurse | RN707646 (Pennsylvania) | Secondary | 
| 363L00000X | Nurse Practitioner | SP025980 (Pennsylvania) | Primary | 
| Entity Name | Family Practice Center Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1154376937 PECOS PAC ID: 0244124212 Enrollment ID: O20040211000012  | 
| Entity Name | The Milton S Hershey Medical Center Physicians Group | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1710951744 PECOS PAC ID: 3870405483 Enrollment ID: O20040225000741  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Oumou Nikki Diallo, CRNP 500 University Dr, Hershey, PA 17033-2360 Ph: (717) 531-8024  | Oumou Nikki Diallo, CRNP 500 University Dr, Hershey, PA 17033-2360 Ph: (717) 531-8024  | 
Mr. Jacob Andrew Morrison,  Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 441 E Chocolate Ave, Hershey, PA 17033 Phone: 717-533-7850 Fax: 717-533-8294  | |
Meghan E Metcalf, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 500 University Dr, Hershey, PA 17033 Phone: 717-531-6597 Fax: 717-531-7790  | |
Angela Devincent Booth, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 500 University Dr, Hershey, PA 17033 Phone: 800-243-1455  | |
Lydia Marie Ganoung, CRNP, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 934 E Chocolate Ave, Hershey, PA 17033 Phone: 717-665-2675  | |
Jacqueline Beck Punako, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 500 University Dr, Hershey, PA 17033 Phone: 717-531-6597 Fax: 717-531-7790  | |
Katherine Lee, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 500 University Dr, Hershey, PA 17033 Phone: 717-531-1789 Fax: 717-531-4789  | |
Mrs. Kimberly Sperber, NNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 500 University Dr, Hershey, PA 17033 Phone: 717-531-6807 Fax: 717-531-4144  |