Provider Demographics
NPI:1700172681
Name:DIPLEY, WILMA JANICE (MSN, RN, FNPC)
Entity Type:Individual
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First Name:WILMA
Middle Name:JANICE
Last Name:DIPLEY
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Gender:F
Credentials:MSN, RN, FNPC
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Mailing Address - Street 1:P.O. BOX 207
Mailing Address - Street 2:302 SOUTH JOPLIN ST ESC
Mailing Address - City:JOPLIN
Mailing Address - State:MO
Mailing Address - Zip Code:64802
Mailing Address - Country:US
Mailing Address - Phone:417-781-0352
Mailing Address - Fax:417-781-1234
Practice Address - Street 1:302 SOUTH JOPLIN ST
Practice Address - Street 2:ECONOMIC SECURITY CORPORATION OF SOUTHWEST AREA
Practice Address - City:JOPLIN
Practice Address - State:MO
Practice Address - Zip Code:64802
Practice Address - Country:US
Practice Address - Phone:417-781-0352
Practice Address - Fax:417-781-1234
Is Sole Proprietor?:No
Enumeration Date:2011-06-20
Last Update Date:2011-06-20
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Provider Licenses
StateLicense IDTaxonomies
MORN107289363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily