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

Diane Van, DNP, FNP

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1629685599

Diane Van, DNP, FNP is a Nurse Practitioner in McComb, Mississippi. Qualified in 2020, 6 years ago. Practices with Southwest Mississippi Regional Medical Center, a 84-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
6
Licensed in
MS
In the registry since
2020
Specialties on file
3
What do these letters mean?
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

205 Marion Ave
McComb, MS 39648-2705
Phone: (601) 684-9116
Fax: (601) 684-9126
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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 904388 (MS)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Registered Nurse Taxonomy 163W00000X · Licence 902568 (MS)

Record details

NPI number1629685599
Entity typeIndividual (Type 1)
GenderFemale
Credentials DNP , FNP
Sole proprietorNo
NPI enumeratedSeptember 25, 2020
Last updated in NPPESNovember 4, 2021
Certification dateNovember 4, 2021
Mailing address334 25th St, McComb, MS 39648-5510

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Southwest Mississippi Regional Medical Center — 84 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in McComb