Individual provider · Type 1 NPI
Tacy Grant, FNP-C
Family Nurse Practitioner · Columbus, MS
NPI number
1396306957
Active
Practice location
3600 Bluecutt Rd Ste 301
Columbus, MS 39705-1397
Mailing address
3600 Bluecutt Rd
Columbus, MS 39705-1303
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 903441 (MS) |
Family Nurse Practitioner: Definition to come...
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About NPI 1396306957
Tacy Grant, FNP-C's National Provider Identifier is 1396306957, issued on Jun 25, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Columbus, MS. The record was last updated on Dec 3, 2025.