person
John Caleb Grenn, MD
Student in an Organized Health Care Education/Training Program in Jackson, Mississippi
NPI 1225569635

John Caleb Grenn is a Student in an Organized Health Care Education/Training Program based in Ridgeland, MS. John Caleb Grenn practices in Jackson, MS and has the professional credentials of MD. The NPI Number for John Caleb Grenn is 1225569635 and holds a License No. (Mississippi).

The current practice location address for John Caleb Grenn is 2500 N State St, Jackson, MS and can be reached out via phone at 601-984-5200 and via fax at 601-984-2086.

Location: 2500 N State St, Jackson, MS, 39157-1212
person
Provider Profile Details
NPI Number
1225569635
Provider Name
John Caleb Grenn
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2500 N State St, Jackson, MS, 39157-1212
Phone Number
601-984-5200
Fax Number
601-984-2086
Provider Enumeration Date
03/27/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2500 N State St
City
State
Zip
39216-4500
Phone Number
601-984-5200
Fax Number
601-984-2086
person
Provider Business Mailing Address Details
Address
2500 N State St
City
State
Zip
39216-4500
Phone Number
601-984-5200
Fax Number
601-984-2086
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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