Organization · Type 2 NPI
Family Health Clinic of Grenada
Family Nurse Practitioner · Grenada, MS
NPI number
1144400607
Active
Practice location
1117 Sunset Dr Ste 104
Grenada, MS 38901-4080
Fax (662) 226-3700
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | R875035 (MS) |
| Family Nurse Practitioner | 363LF0000X | R742805 (MS) |
Family Nurse Practitioner: Definition to come...
3 other providers at this address
Other family nurse practitioner providers in Grenada
About NPI 1144400607
Family Health Clinic of Grenada's National Provider Identifier is 1144400607, issued on Nov 13, 2007. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Grenada, MS. The record was last updated on Dec 1, 2016.