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Mrs. Diana June Tanner
Family Nurse Practitioner in Douglas, Georgia
NPI 1841868676

Diana June Tanner is a Family Nurse Practitioner based in Douglas, GA and is specialized in Family. Diana June Tanner practices in Douglas, GA. The NPI Number for Diana June Tanner is 1841868676 and holds a License No. RN225362 (Georgia).

The current practice location address for Diana June Tanner is 2007 Ocilla Rd, Douglas, GA and can be reached out via phone at 912-384-0162.

Location: 2007 Ocilla Rd, Douglas, GA, 31533-2229
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1841868676
Provider Name
Diana June Tanner
Credential
Provider Entity Type
Individual
Gender
Female
Address
2007 Ocilla Rd, Douglas, GA, 31533-2229
Phone Number
912-384-0162
Fax Number
Provider Enumeration Date
06/17/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2007 Ocilla Rd
City
Douglas
State
Georgia
Zip
31533-2229
Phone Number
912-384-0162
Fax Number
person
Provider Business Mailing Address Details
Address
2007 Ocilla Rd
City
Douglas
State
Georgia
Zip
31533-2229
Phone Number
912-384-0162
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
RN225362 (Georgia)
Definition
Definition to come...
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