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

Mrs. Fatoumata Diallo, PMHNP

Individual provider Nurse Practitioner · NPI 1336763176

Mrs. Fatoumata Diallo, PMHNP is a Nurse Practitioner in Gastonia, North Carolina. Qualified in 2019, 7 years ago. Practices with Caromont Medical Group Inc, a 417-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
7
Licensed in
NC
In the registry since
2020
Specialties on file
3
What do these letters mean?
PMHNP — Psychiatric-Mental Health Nurse Practitioner
A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.

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Practice location Address checks out

1337 E Garrison Blvd
Gastonia, NC 28054-5127
Phone: (704) 865-3848
Fax: (919) 933-6881
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3545 Whitehall Park Dr, Charlotte, NC 28273-4180 — (336) 277-7080

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 5013368 (NC)
Nurse Practitioner Taxonomy 363L00000X · Licence 217208 (NC)
Nurse Practitioner Taxonomy 363L00000X · Licence 5013368 (NC)

Record details

NPI number1336763176
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP
Sole proprietorNo
NPI enumeratedJune 7, 2020
Last updated in NPPESSeptember 5, 2023
Certification dateSeptember 5, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Caromont Medical Group Inc — 417 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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