{"npi":"1770530347","type":"NPI-1","status":"active","name":{"display":"Diana Brockman FNP","other":[{"code":"1","type":"Formerly known as","value":"RIDDLE, DIANA"}],"first":"DIANA","last":"BROCKMAN","middle":"LYNN","credential":"FNP"},"specialty":{"primary_taxonomy":"363LP0808X","primary_taxonomy_description":"Psychiatric/Mental Health Nurse Practitioner","slug":"psychiatric-mental-health-nurse-practitioner","schema_org_specialty":null,"all":[{"code":"363LP0808X","description":"Psychiatric/Mental Health Nurse Practitioner","primary":true,"state":"TN","license":"59629"}]},"addresses":[{"purpose":"LOCATION","street_1":"238 SUMMAR DR","city":"JACKSON","state":"TN","postal_code":"383013906","country_code":"US","phone":"7319358200","fax":"7319358327"},{"purpose":"MAILING","street_1":"257 BANCORP SOUTH PKWY","city":"JACKSON","state":"TN","postal_code":"383057582","country_code":"US","phone":"7316608781"}],"license":{"state":"TN","number":"59629"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20110302000347","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"TN","pac_id":"1850572413"}]},"enumeration_date":"2006-05-28","last_updated":"2023-09-21","_meta":{"source":"NPPES","snapshot_date":"2023-09-21","doc_url":"https://findmynpi.com/api"}}