| Doctor Name: | MRS. DIANNA FORREST DOUGLASS |
| NPI Number: | 1043679079 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R.N. |
| License Number: | 901761 |
| Business Practice Address: | 152 Highway 7 S Oxford, MS - 386555392 |
| Business Phone Number: | 6622347521 |
| Business Fax Number: | 6622363071 |
| Mailing Address: | 152 Highway 7 S, OXFORD |
| State: | MS |
| Postal Code: | 386555392 |
| Phone Number: | 6622347521 |
| Fax Number: | 6622363071 |
| NPI Enumeration Date: | 02/18/2016 |
| NPI Last Update Date: | 04/04/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0808X |
| License Number: | 901761 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MS |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |