Individual provider · Type 1 NPI
Mason Grant
Psychiatric/Mental Health Nurse Practitioner · Monticello, AR
NPI number
1871491142
Active
Practice location
790 Roberts Dr
Monticello, AR 71655-5723
Mailing address
723 Bowser Rd
Monticello, AR 71655-9782
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 219742 (AR) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1871491142
Mason Grant's National Provider Identifier is 1871491142, issued on Oct 27, 2026. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Monticello, AR. The record was last updated on Oct 29, 2026.