person
Mrs. Stacie K Grantham, CFNP
Family Nurse Practitioner in Jackson, Tennessee
NPI 1215175278

Stacie K Grantham is a Family Nurse Practitioner based in Jackson, TN and is specialized in Family. Stacie K Grantham practices in Jackson, TN and has the professional credentials of CFNP. The NPI Number for Stacie K Grantham is 1215175278 and holds a License No. 13513 (Tennessee).

The current practice location address for Stacie K Grantham is 587 Skyline Dr, Jackson, TN and can be reached out via phone at 731-424-8922 and via fax at 731-423-2922.

Location: 587 Skyline Dr, Jackson, TN, 38301-3938
person
Provider Profile Details
NPI Number
1215175278
Provider Name
Stacie K Grantham
Credential
CFNP
Provider Entity Type
Individual
Gender
Female
Address
587 Skyline Dr, Jackson, TN, 38301-3938
Phone Number
731-424-8922
Fax Number
731-423-2922
Provider Enumeration Date
01/29/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
587 Skyline Dr
City
State
Zip
38301-3938
Phone Number
731-424-8922
Fax Number
731-423-2922
person
Provider Business Mailing Address Details
Address
587 Skyline Dr
City
State
Zip
38301-3938
Phone Number
731-424-8922
Fax Number
731-423-2922
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
APN13513 (Tennessee)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
13513 (Tennessee)
Definition
Definition to come...
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