DIANA DRUMWRIGHT DEDMON FNP NPI 1457393183

NPI Information

  • NPI: 1457393183
  • Provider Name: DIANA DRUMWRIGHT DEDMON, FNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5480 GOODMAN RD
    OLIVE BRANCH, MS
    ZIP 38654
  • Phone: (662) 893-9800

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NPI Details

Diana Drumwright Dedmon, FNP is a family nurse practitioner in Olive Branch, MS. Diana Drumwright Dedmon, FNP NPI is 1457393183. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5480 GOODMAN RD
OLIVE BRANCH, MS
ZIP 38654-902
Phone: (662) 893-9800
Fax: (662) 893-9827

The NPI 1457393183 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/10/2006 and was last updated on 4/14/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyAPN0000006640TENNESSEENo
2363LF0000XNurse PractitionerFamilyA810524MISSISSIPPIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
13649176MEDICARE ID-TYPE UNSPECIFIEDTENNESSEE
23649176MEDICAIDTENNESSEE
3E81377MEDICARE UPINTENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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