Individual
MRS. GRETA LOUISE KEYS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
332 E MONTICELLO ST, BROOKHAVEN, MS 39601-3430
(601) 833-3500
(601) 292-6384
Mailing address
332 E MONTICELLO ST, BROOKHAVEN, MS 39601-3430
(601) 833-3500
(601) 292-6384
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
—
—
363LF0000X
Family Nurse Practitioner
Primary
R843927
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04187246
—
MS
01
—
2014619
CIGNA
MS
01
—
P00823061
RAILROAD MEDICARE
MS
Enumeration date
08/02/2006
Last updated
03/07/2017
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