| Doctor Name: | DIANA LYNN DILLARD |
| NPI Number: | 1093832388 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | 0050-02800 |
| Business Practice Address: | 1385 Medical Center Dr Roanoke Rapids, NC - 278705130 |
| Business Phone Number: | 2525379176 |
| Business Fax Number: | 2525376851 |
| Mailing Address: | 1385 Medical Center Dr, ROANOKE RAPIDS |
| State: | NC |
| Postal Code: | 278705130 |
| Phone Number: | 2525379176 |
| Fax Number: | 2525376851 |
| NPI Enumeration Date: | 03/23/2007 |
| NPI Last Update Date: | 04/25/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 0050-02800 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |