Individual provider · Type 1 NPI

Carly Jo Diviney, APRN FNP-C

Family Nurse Practitioner · Tyler, TX

NPI number 1235928425 Active

Practice location

800 E Dawson St
Tyler, TX 75701-2036

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner Primary	363LF0000X	F06250973 (TX)
Emergency Registered Nurse	163WE0003X	899590 (TX)

Family Nurse Practitioner: Definition to come...

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About NPI 1235928425

Carly Jo Diviney, APRN FNP-C's National Provider Identifier is 1235928425, issued on May 5, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Tyler, TX. The record was last updated on Jun 19, 2025.