Organization · Type 2 NPI
Main Street Medical Clinic
Family Nurse Practitioner · Grayson, KY
NPI number
1952180408
Active
Practice location
107 E Main St
Grayson, KY 41143-1301
Fax (606) 474-0412
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
Family Nurse Practitioner: Definition to come...
4 other providers at this address
Other family nurse practitioner providers in Grayson
About NPI 1952180408
Main Street Medical Clinic's National Provider Identifier is 1952180408, issued on Sep 25, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Grayson, KY. The record was last updated on Sep 25, 2023.