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NPI Code Detail

MEDICARE: DIONNE COLEMAN FNP

MEDICARE: DIONNE COLEMAN FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner5022315NC

General Provider Information

NPI Number : 1144023698
Entity Type Code : Individual
Provider Name (Legal Business Name) : DIONNE COLEMAN FNP
Provider Business Mailing Address
First Line : 2616 E 5TH ST
Second Line :
City : CHARLOTTE
State : NC
Zip : 28204-4343
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2616 E 5TH ST
Second Line :
City : CHARLOTTE
State : NC
Zip : 28204-4343
Country : US
Telephone Number : 704-333-5165
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/31/2025
Last Update Date : 09/13/2025

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Directions to “ DIONNE COLEMAN FNP” Practice Location

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