Individual provider · Type 1 NPI

Mary Grant, FNP

Family Nurse Practitioner · Southaven, MS

NPI number 1093970733 Active

Practice location

9140 Highway 51 N
Southaven, MS 38671-1233

Fax (662) 280-5541

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XR538515 (MS)

Family Nurse Practitioner: Definition to come...

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About NPI 1093970733

Mary Grant, FNP's National Provider Identifier is 1093970733, issued on Jul 22, 2008. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Southaven, MS. The record was last updated on Jul 22, 2008.