Provider Demographics
NPI:1023379666
Name:MASSIAH, DIONNE LADONNA (NP)
Entity Type:Individual
Prefix:MRS
First Name:DIONNE
Middle Name:LADONNA
Last Name:MASSIAH
Suffix:
Gender:F
Credentials:NP
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Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:795 FISH CREEK THOROUGHFARE STE 270
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:TX
Mailing Address - Zip Code:77316-6960
Mailing Address - Country:US
Mailing Address - Phone:936-436-8121
Mailing Address - Fax:936-436-8114
Practice Address - Street 1:795 FISH CREEK THOROUGHFARE STE 270
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:TX
Practice Address - Zip Code:77316-6960
Practice Address - Country:US
Practice Address - Phone:936-436-8121
Practice Address - Fax:936-436-8114
Is Sole Proprietor?:No
Enumeration Date:2012-05-30
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NYF340715-1363LG0600X
TX1057336363LP2300X, 363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care