Individual provider · Type 1 NPI
Emily Evans Grenn
General Practice Physician · Jackson, MS
NPI number
1306336920
Active
Practice location
2500 N State St
Jackson, MS 39216-4500
Fax (601) 984-5110
Other practice locations
- 254 LA-3048, Rayville, LA 71269-7126 · (318) 728-4181
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| General Practice Physician Primary | 208D00000X | 329535 (LA) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
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Other general practice physician providers in Jackson
- Timothy Duncan Estes, MDGeneral Practice Physician Jackson, MS NPI 1285746511
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- Vipina Bhaktadasan Nair, MBBSGeneral Practice Physician Jackson, MS NPI 1871055392
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About NPI 1306336920
Emily Evans Grenn's National Provider Identifier is 1306336920, issued on May 18, 2018. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Jackson, MS. The record was last updated on May 20, 2022.