Individual provider · Type 1 NPI

Kaley Grant Grogan, FNP-C

Family Nurse Practitioner · Jackson, MS

NPI number 1184902389 Active

Practice location

2500 N State St
Jackson, MS 39216-4500

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner Primary	363LF0000X	R880078 (MS)

Family Nurse Practitioner: Definition to come...

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About NPI 1184902389

Kaley Grant Grogan, FNP-C's National Provider Identifier is 1184902389, issued on Jul 22, 2011. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Jackson, MS. The record was last updated on May 12, 2015.