Individual provider · Type 1 NPI

Tashua Lashun Grizzle, RN

Administrator Registered Nurse · Mcdonough, GA

NPI number 1427709054 Active

Practice location

4131 Merle Ct
Mcdonough, GA 30252-8125

Specialties and licenses

TaxonomyCodeLicense
Nursing Home Administrator 376G00000XNHA004969 (GA)
Administrator Registered Nurse Primary 163WA2000XRN29755 (GA)

Administrator Registered Nurse: Definition to come...

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About NPI 1427709054

Tashua Lashun Grizzle, RN's National Provider Identifier is 1427709054, issued on Jan 14, 2022. The primary taxonomy on file is Administrator Registered Nurse (163WA2000X), and the practice location is in Mcdonough, GA. The record was last updated on Jan 14, 2022.