Individual
CARRIE ANN GRESHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1100 WALNUT ST, OWENSBORO, KY 42301-2956
(270) 689-6500
(270) 689-6677
Mailing address
PO BOX 1230, EVANSVILLE, IN 47706-1230
(812) 476-7200
(812) 471-4514
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
28190743A
IN
363L00000X
Nurse Practitioner
71011434A
IN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4006013
KY
Other
Enumeration date
05/24/2021
Last updated
07/10/2023
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