Individual
DANA LIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
700 SUNSET DR, GRENADA, MS 38901-4091
(662) 307-2884
Mailing address
700 SUNSET DR, GRENADA, MS 38901-4091
(662) 307-2884
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
905671
MS
363LF0000X
Family Nurse Practitioner
Primary
71012842A
IN
Other
Enumeration date
08/01/2022
Last updated
04/24/2026
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