Individual
HEATHER GRAYSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, PNP-C
Contact information
Practice address
104 CONTEMPO AVE, WEST MONROE, LA 71291-5312
(318) 966-5437
(318) 966-5438
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(318) 966-5437
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP07983
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09023298
—
MS
05
—
2375938
—
LA
Enumeration date
07/28/2014
Last updated
06/20/2024
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