Individual provider · Type 1 NPI

Grace Ann Mayne, WHNP

Nurse Practitioner · Jackson, MS

NPI number 1861963373 Active

Practice location

1200 N State St Ste 430
Jackson, MS 39202-2027

Call (601) 487-7141 Map

Mailing address

1640 Vicklan St
Vicksburg, MS 39180-3954

Other practice locations

100 Maxwell Dr, Vicksburg, MS 39180-4476 · (601) 883-2900

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner Primary	363L00000X	903061 (MS)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

2 other providers at this address

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About NPI 1861963373

Grace Ann Mayne, WHNP's National Provider Identifier is 1861963373, issued on Dec 10, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Jackson, MS. The record was last updated on Mar 7, 2019.