Provider Demographics
NPI:1407585235
Name:DUKE, DIANA JEAN
Entity Type:Individual
Prefix:
First Name:DIANA
Middle Name:JEAN
Last Name:DUKE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3782 HUNTING LN
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43230-4016
Mailing Address - Country:US
Mailing Address - Phone:614-599-0066
Mailing Address - Fax:
Practice Address - Street 1:3782 HUNTING LN
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43230-4016
Practice Address - Country:US
Practice Address - Phone:614-599-0066
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-07
Last Update Date:2023-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide