Individual
MS. HEATHER DAWN GROB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
110 TEAGUE ST APT B, PICAYUNE, MS 39466-3800
(601) 215-6072
Mailing address
110 TEAGUE ST APT B, PICAYUNE, MS 39466-3800
(601) 215-6072
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
890695
MS
Other
Enumeration date
06/04/2025
Last updated
06/04/2025
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