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Individual
GRADY MCMILLEN
Active
Individual
GRADY MCMILLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
154330
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
38010
TN
Other
Enumeration date
01/15/2024
Last updated
04/29/2025
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