Individual provider · Type 1 NPI
Watta Martha Grant, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Paris, TX
NPI number
1780257915
Active
Practice location
3150 Clarksville St Ste 300
Paris, TX 75460-8082
Mailing address
PO Box 2709
Longview, TX 75606-2709
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 1040939 (TX) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1780257915
Watta Martha Grant, PMHNP-BC's National Provider Identifier is 1780257915, issued on Jul 24, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Paris, TX. The record was last updated on Sep 5, 2025.