Individual
DR. EMILY EVANS GRENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5101
(601) 984-5110
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5101
(601) 984-5110
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
329535
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/18/2018
Last updated
05/20/2022
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