Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Diane Berry Slough, FNP-C

Individual provider Family Nurse Practitioner · NPI 1063815454

Diane Berry Slough, FNP-C is a Nurse Practitioner in Hannibal, Missouri. Qualified in 2014, 12 years ago. Practices with Williams Medical Group Practice, LLC, a 207-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
12
Licensed in
MO
In the registry since
2014
Specialties on file
2
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

6500 Hospital Dr
Hannibal, MO 63401-6890
Phone: (573) 629-3440
Fax: (573) 629-3416
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 2014035654 (MO)
Emergency Registered Nurse Taxonomy 163WE0003X · Licence 118370 (MO)

Record details

NPI number1063815454
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedSeptember 30, 2014
Last updated in NPPESFebruary 23, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Williams Medical Group Practice, Llc — 207 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Hannibal