Individual provider · Type 1 NPI
Diana Kim Ennis, NP
Ambulatory Women's Health Care Registered Nurse · Columbus, MS
NPI number
1740246958
Active
Practice location
100 Independence Dr.
Columbus, MS 39710-0001
Mailing address
8536 Timber Walk Cv
Cordova, TN 38018-4337
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Women's Health Care Registered Nurse Primary | 163WW0101X | APN0000006307 (TN) |
Ambulatory Women's Health Care Registered Nurse: Definition to come...
About NPI 1740246958
Diana Kim Ennis, NP's National Provider Identifier is 1740246958, issued on Apr 25, 2006. The primary taxonomy on file is Ambulatory Women's Health Care Registered Nurse (163WW0101X), and the practice location is in Columbus, MS. The record was last updated on Jul 13, 2026.