Individual
MRS. ALISHA JANELLE GRAYSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
828 WASHINGTON AVE, HUNGTINGON, WV 25704
(304) 529-0466
(304) 529-0466
Mailing address
828 WASHINGTON AVE, HUNGTINGON, WV 25704
(304) 529-0466
(304) 529-0466
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
52323
WV
207QA0505X
Adult Medicine Physician
Primary
105808
WV
363LF0000X
Family Nurse Practitioner
105808
WV
363LF0000X
Family Nurse Practitioner
4704412843
MI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
105808
WV
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
APRN.CNP.0027650
OH
Other
Enumeration date
06/02/2008
Last updated
04/10/2024
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