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