Individual provider · Type 1 NPI

Roshanda Grayson-Thomas, APRN

Psychiatric/Mental Health Nurse Practitioner · Portage, IN

NPI number 1619415874 Active

Practice location

6050 Sterling Creek Rd
Portage, IN 46368-7752

Other practice locations

  • 1100 W 6th Ave, Gary, IN 46402-1711 · (219) 885-4264

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X28201839A (IN)
Psychiatric/Mental Health Nurse Practitioner 363LP0808XPENDING (IN)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X71010601A (IN)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1619415874

Roshanda Grayson-Thomas, APRN's National Provider Identifier is 1619415874, issued on Feb 8, 2017. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Portage, IN. The record was last updated on Dec 16, 2020.