Provider Demographics
NPI:1841765872
Name:EAKINS, DIANE SHEREE (NP)
Entity Type:Individual
Prefix:
First Name:DIANE
Middle Name:SHEREE
Last Name:EAKINS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:4860 RHEA RD
Mailing Address - Street 2:
Mailing Address - City:WICHITA FALLS
Mailing Address - State:TX
Mailing Address - Zip Code:76308-4404
Mailing Address - Country:US
Mailing Address - Phone:940-500-4408
Mailing Address - Fax:940-386-1318
Practice Address - Street 1:1708 DAYTON AVE
Practice Address - Street 2:
Practice Address - City:WICHITA FALLS
Practice Address - State:TX
Practice Address - Zip Code:76301-6110
Practice Address - Country:US
Practice Address - Phone:940-500-4408
Practice Address - Fax:940-386-1318
Is Sole Proprietor?:No
Enumeration Date:2018-10-05
Last Update Date:2021-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX772951363LP0808X, 163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health