Mrs. Diosan Mangubat Powell
FNP | Nurse Practitioner - Primary Care | 9+ years Exp
346 Stateline Rd W, Southaven
Mississippi, 38671-1610
662-510-5353
Mrs. Diosan Mangubat Powell is a Southaven, Mississippi based nurse practitioner with 9 years of experience in Primary Care. She completed her graduation in 2016. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mrs. Diosan Mangubat Powell is 21474 for Primary Care in Tennessee. Her current practice location is 346 Stateline Rd W, Southaven. Patients can reach her at 662-510-5353 or can fax her at 662-510-0409. Mrs. Diosan Mangubat Powell is FNP with specialization in Primary Care and her NPI number (Unique professional ID assigned by NPPES) is 1275086902.
Mrs. Diosan Mangubat Powell is educated, certified and licensed to provide comprehensive, chronic, continuous care characterized by a long-term relationship with the patient. Primary Care Nurse Practitioners (PCNPs) screen, diagnose, and treat common acute and chronic medical diseases and conditions. They are also involved in health promotion, screening, and educating about primary prevention.
Complete Profile:
Mrs. Diosan Mangubat Powell speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Mrs. Diosan Mangubat Powell |
| Specialization: | Primary Care Nurse Practitioner (PCNP) |
| Gender: | Female |
| Credentials: | FNP |
| Experience: | 9+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2016 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 346 Stateline Rd W, Southaven,
Mississippi, 38671-1610 |
| Phone: | 662-510-5353 |
| Fax: | 662-510-0409 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 5395033351 |
| Enrollment ID: | I20180328000562 |
| NPI Number: | 1275086902 |
| NPI Enumeration Date: | 29 Jul, 2016 |
| NPI Last Update On: | 26 Dec, 2018 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mrs. Diosan Mangubat Powell are as mentioned below.
| License Number | Specialization | State | Status | |
| 21474 | Primary Care | Tennessee | Primary | |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Mrs. Diosan Mangubat Powell is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Desoto Family Care Clinic, Pllc (7719249978) | 3 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Mrs. Diosan Mangubat Powell such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 08778361 | Medicaid | Mississippi | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Mrs. Diosan Mangubat Powell
5248 Garner Ln,
Southaven, Mississippi |
| Zip: | 38672-6016 |
| Phone Number: | 615-585-0469 |
Patients can reach Mrs. Diosan Mangubat Powell at
346 Stateline Rd W, Southaven, Mississippi or can
call to book an appointment on 662-510-5353.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.