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Donna Grisham
Family Nurse Practitioner in Ecru, Mississippi
NPI 1912771486

Donna Grisham is a Family Nurse Practitioner based in Ecru, MS and is specialized in Family. Donna Grisham practices in Ecru, MS. The NPI Number for Donna Grisham is 1912771486 and holds a License No. 905951 (Mississippi).

The current practice location address for Donna Grisham is 5482 Highway 15 N, Ecru, MS and can be reached out via phone at 662-488-8799.

Location: 5482 Highway 15 N, Ecru, MS, 38841-8471
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912771486
Provider Name
Donna Grisham
Credential
Provider Entity Type
Individual
Gender
Female
Address
5482 Highway 15 N, Ecru, MS, 38841-8471
Phone Number
662-488-8799
Fax Number
Provider Enumeration Date
11/14/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5482 Highway 15 N
City
Ecru
State
Mississippi
Zip
38841
Phone Number
662-488-8799
Fax Number
person
Provider Business Mailing Address Details
Address
5482 Highway 15 N
City
Ecru
State
Mississippi
Zip
38841
Phone Number
662-488-8799
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
905951 (Mississippi)
Definition
Definition to come...
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