Organization · Type 2 NPI
Greystone Medical Clinic, P.c.
Acute Care Nurse Practitioner · Jackson, TN
NPI number
1770519530
Active
Practice location
1044 Greystone Square
Jackson, TN 38305
Fax (731) 664-5496
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine Physician | 207R00000X | TN0000030429 (TN) |
| Neurology Physician | 2084N0400X | TN0000030429 (TN) |
| Acute Care Nurse Practitioner Primary | 363LA2100X | APN10467 (TN) |
Acute Care Nurse Practitioner: Definition to come...
About NPI 1770519530
Greystone Medical Clinic, P.c.'s National Provider Identifier is 1770519530, issued on Jun 24, 2006. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Jackson, TN. The record was last updated on Sep 11, 2025.