person
Myra Jo Grantham, NP
Family Nurse Practitioner in Conway, Arkansas
NPI 1528459799

Myra Jo Grantham is a Family Nurse Practitioner based in Lafayette, AR and is specialized in Family. Myra Jo Grantham practices in Conway, AR and has the professional credentials of NP. The NPI Number for Myra Jo Grantham is 1528459799 and holds a License No. A004270 (Arkansas).

The current practice location address for Myra Jo Grantham is 2302 College Ave, Conway, AR and can be reached out via phone at 501-329-3831 and via fax at 501-450-2283.

Location: 2302 College Ave, Conway, AR, 70508-3870
person
Provider Profile Details
NPI Number
1528459799
Provider Name
Myra Jo Grantham
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
2302 College Ave, Conway, AR, 70508-3870
Phone Number
501-329-3831
Fax Number
501-450-2283
Provider Enumeration Date
02/10/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2302 College Ave
City
State
Zip
72034-6297
Phone Number
501-329-3831
Fax Number
501-450-2283
person
Provider Business Mailing Address Details
Address
2302 College Ave
City
State
Zip
72034-6297
Phone Number
501-329-3831
Fax Number
501-450-2283
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Student Health
Taxonomy
License No.
A004270 (Arkansas)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
A004270 (Arkansas)
Definition
Definition to come...
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