Mrs Diana Kim Ennis, NP - Registered Nurse in Columbus, MS

Mrs Diana Kim Ennis, NP is a Registered Nurse - Women's Health Care, Ambulatory based in Columbus, Mississippi. Mrs Diana Kim Ennis is licensed to practice in Tennessee (license number APN0000006307) and her current practice location is 100 Independence Dr., Columbus, Mississippi. She can be reached at her office (for appointments etc.) via phone at (662) 434-2181.

NPI number for Mrs Diana Kim Ennis is 1740246958 and her current mailing address is 8536 Timber Walk Cv, Cordova, Tennessee. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1740246958.

Contact Information

Mrs Diana Kim Ennis, NP
100 Independence Dr.,
Columbus, MS 39710-0001
(662) 434-2181
Not Available

Map and Direction




Provider's Profile

Full NameMrs Diana Kim Ennis
GenderFemale
SpecialityRegistered Nurse - Women's Health Care, Ambulatory
Location100 Independence Dr., Columbus, Mississippi
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1740246958
  • Provider Enumeration Date: 04/25/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mrs Diana Kim Ennis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1740246958NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WW0101XRegistered Nurse - Women's Health Care, Ambulatory APN0000006307 (Tennessee)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Diana Kim Ennis is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Diana Kim Ennis, NP
8536 Timber Walk Cv,
Cordova, TN 38018-4337

Ph: (901) 755-3599
Mrs Diana Kim Ennis, NP
100 Independence Dr.,
Columbus, MS 39710-0001

Ph: (662) 434-2181

Reviews and Comments


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