Doctor profile · Federal record
Dr. Diana Dedmon, FNP
Family Nurse Practitioner · Family Nurse Practitioner · Olive Branch, MS
- NPI 1457393183
- 20 yrs on file
- Licensed in 2 states
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
5480 Goodman RD
Olive Branch, MS 386547902
(662) 893-9800
fax (662) 893-9827
Credentials & registration
- NPI registered
- June 2006 — 20 yrs on file
- Profile last updated
- April 14, 2015
- Specialty taxonomy
- 363LF0000X — NUCC code
- State licenses (2)
- Mississippi #A810524 · Tennessee #APN0000006640
- Medicaid
- TN #3649176
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1457393183. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$41
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Organon Llc | 1 | $41.21 |
By nature of payment
Frequently asked questions
What is Dr. Diana Dedmon's medical specialty?
Dr. Diana Dedmon practices Family Nurse Practitioner in Olive Branch, MS.
Where does Dr. Diana Dedmon practice?
Dr. Diana Dedmon practices at 5480 Goodman RD, Olive Branch, MS 386547902. Office phone: 6628939800.
What is Dr. Diana Dedmon's NPI?
Dr. Diana Dedmon's National Provider Identifier (NPI) is 1457393183, issued by NPPES.