| Princess Diane Pippen, CRNP-FNP-BC | |
|
606 Southern Trace Pkwy, Leeds, AL 35094-6604 | |
| (205) 913-8965 | |
| Not Available |
| Full Name | Princess Diane Pippen |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 606 Southern Trace Pkwy, Leeds, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023719150 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 1-132390 (Alabama) | Primary |
| Entity Name | State Of Alabama Department Of Finance |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619190998 PECOS PAC ID: 5698684090 Enrollment ID: O20031205000194 |
| Entity Name | Signify Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210224000756 |
| Mailing Address | Practice Location Address |
|---|---|
| Princess Diane Pippen, CRNP-FNP-BC 606 Southern Trace Pkwy, Leeds, AL 35094-6604 Ph: (205) 913-8965 | Princess Diane Pippen, CRNP-FNP-BC 606 Southern Trace Pkwy, Leeds, AL 35094-6604 Ph: (205) 913-8965 |
Rebecca Leigh Bates, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1141 Payton Way, Leeds, AL 35094 Phone: 205-699-0729 | |
Dejerian W Saenz, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1139 Cameron Cove Cir, Leeds, AL 35094 Phone: 205-552-2921 | |
Edward Byron Eppes, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1233 Maitland Rd, Leeds, AL 35094 Phone: 205-410-0829 |