Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Diana Fuller, Micou

Individual provider Voluntary or Charitable Agency · NPI 1205348554

Diana Fuller, Micou is a Voluntary or Charitable Agency in Kosciusko, Mississippi. Practices as a sole proprietor. Registered with an NPI since 2017.

In the registry since
2017
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Practice location Address checks out

825 James H Meredith St
Kosciusko, MS 39090-3161
Phone: (662) 289-3699
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Voluntary or Charitable Agency (primary) Taxonomy 251V00000X

Record details

NPI number1205348554
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 26, 2017
Last updated in NPPESOctober 26, 2017
Mailing address825 James H Meredith St, Kosciusko, MS 39090-3161