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Contact Information

JUDITH M DIAL, FNP
2500 NORTH STATE STREET
DEPARTMENT OF MEDICINE/DIVISION OF INFECTIOUS DISEASE
JACKSON, MS39216-4500
 Phone: 601-984-5560
 Fax: 601-984-5565
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Infectious Disease

207RI0200X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for JUDITH M DIAL · (Female)

NPI Number 1790719250
Status Active
Credentials FNP (Family Nurse Practitioner)
Entity Individual
Enumeration date 07/10/2006
Last updated 03/01/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • MS License # R113920
  • LA Medicaid 1522813
  • MS Medicaid 04054008
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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