Individual provider · Type 1 NPI

Diana B. Moreland, PA-C

Physician Assistant · Carbondale, IL

NPI number 1467480905 Active

Practice location

405 W Jackson St
Carbondale, IL 62901-1462

Fax (618) 457-0469

Mailing address

1239 E Main St
Carbondale, IL 62901-3175

Other practice locations

  • 201 S 14th St, Herrin, IL 62948-3631 · (618) 942-2171
  • 2 S Hospital Dr, Murphysboro, IL 62966-3333 · (618) 684-3156
  • 1350 Cedar Ct, Carbondale, IL 62901-5336 · (618) 529-2955

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700X085-000984 (IL)
Physician Assistant Primary 363A00000X085000984 (IL)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1467480905

Diana B. Moreland, PA-C's National Provider Identifier is 1467480905, issued on Jun 30, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Carbondale, IL. The record was last updated on Sep 29, 2026.