Individual provider · Type 1 NPI

Diana Connelly

Nurse Practitioner · Columbia, TN

NPI number 1841002847 Active

Practice location

1050 N James M Campbell Blvd Ste 200
Columbia, TN 38401-2754

Fax (931) 375-0300

Mailing address

PO Box 306556
Nashville, TN 37230-6556

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X38063 (TN)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1841002847

Diana Connelly's National Provider Identifier is 1841002847, issued on Jan 25, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Columbia, TN. The record was last updated on Nov 11, 2025.