institution
Family Health Clinic Of Grenada
Family Nurse Practitioner in Grenada, Mississippi
NPI 1144400607

Family Health Clinic Of Grenada is a Family Nurse Practitioner based in Grenada, MS and is specialized in Family. Family Health Clinic Of Grenada practices in Grenada, MS. The NPI Number for Family Health Clinic Of Grenada is 1144400607 and holds a License No. R875035 (Mississippi).

The current practice location address for Family Health Clinic Of Grenada is 1117 Sunset Dr Ste 104, Grenada, MS and can be reached out via phone at 662-226-0110 and via fax at 662-226-3700.

Location: 1117 Sunset Dr Ste 104, Grenada, MS, 38901-4080
institution
Provider Profile Details
NPI Number
1144400607
Provider Name
Family Health Clinic Of Grenada
Credential
Provider Entity Type
Organization
Address
1117 Sunset Dr Ste 104, Grenada, MS, 38901-4080
Phone Number
662-226-0110
Fax Number
662-226-3700
Provider Enumeration Date
11/13/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01476010 05 MS
institution
Provider Business Practice Location Address Details
Address
1117 Sunset Dr Ste 104
City
State
Zip
38901-4080
Phone Number
662-226-0110
Fax Number
662-226-3700
person
Provider Business Mailing Address Details
Address
1117 Sunset Dr Ste 104
City
State
Zip
38901-4080
Phone Number
662-226-0110
Fax Number
662-226-3700
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
R875035 (Mississippi)
Definition
Definition to come...
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