Provider Demographics
NPI:1639287584
Name:INMAN, DIANNA DEAN (APRN, DNP)
Entity Type:Individual
Prefix:DR
First Name:DIANNA
Middle Name:DEAN
Last Name:INMAN
Suffix:
Gender:F
Credentials:APRN, DNP
Other - Prefix:DR
Other - First Name:DIANNA
Other - Middle Name:
Other - Last Name:INMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DNP
Mailing Address - Street 1:215 TOWN CREEK RD
Mailing Address - Street 2:
Mailing Address - City:AIKEN
Mailing Address - State:SC
Mailing Address - Zip Code:29803-5843
Mailing Address - Country:US
Mailing Address - Phone:803-508-7651
Mailing Address - Fax:803-508-7655
Practice Address - Street 1:215 TOWN CREEK RD
Practice Address - Street 2:
Practice Address - City:AIKEN
Practice Address - State:SC
Practice Address - Zip Code:29803-5843
Practice Address - Country:US
Practice Address - Phone:803-508-7651
Practice Address - Fax:803-508-7655
Is Sole Proprietor?:No
Enumeration Date:2006-08-29
Last Update Date:2021-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3008727363LP0200X
SC1867363LP0808X, 363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCNP0690Medicaid
SCNP0690Medicaid
KY080624Medicaid