Individual
MARY ANN GRIFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
507 HIGHWAY 80, PELAHATCHIE, MS 39145-2786
(601) 854-8002
(601) 854-7333
Mailing address
507 HIGHWAY 80, PELAHATCHIE, MS 39145-2786
(601) 854-8002
(601) 854-7333
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R851997
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R851997
LICENSE
MS
Enumeration date
06/19/2009
Last updated
04/26/2016
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