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DIANA FULLER,MICOU
NPI 1205348554
Voluntary or Charitable in Kosciusko, MS

Active since October 26, 2017
825 JAMES H MEREDITH ST, KOSCIUSKO, MS 39090(662) 289-3699 Get Directions Write a Review

NPPES record last updated: October 26, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Diana Fuller,micou NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DIANA FULLER,MICOU (NPI 1205348554) is an individual voluntary or charitable provider in Kosciusko, Mississippi and active in the NPI registry since October 2017.

NPPES Registry Identity

NPI1205348554
Entity TypeIndividualFemale
Primary Taxonomy251V00000X
Provider Legal NameDIANA FULLER,MICOU
Location Address825 JAMES H MEREDITH STKosciusko, MS 39090-3161
Mailing Address825 James H Meredith StKosciusko, MS 39090-3161
Phone(662) 289-3699
Sole ProprietorYes
Enumeration DateOctober 26, 2017
✔ NPI 1205348554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyVoluntary or CharitableAgencies
Taxonomy Code251V00000X
825 JAMES H MEREDITH ST, Kosciusko, MS 39090
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Diana Fuller,micou's NPI number?

The NPI number for Diana Fuller,micou is 1205348554. It was assigned to this individual provider in the NPPES registry on October 26, 2017.

Where is Diana Fuller,micou located?

Diana Fuller,micou practices at 825 James H Meredith St, Kosciusko, MS 39090. The listed phone number is (662) 289-3699.

What is Diana Fuller,micou's specialty?

The primary specialty registered for this NPI is Voluntary or Charitable with taxonomy code 251V00000X.

When was this NPI record last updated?

The NPPES record for Diana Fuller,micou was last updated on October 26, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.