Individual
DANA GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
874 BARNES CROSSING RD, TUPELO, MS 38804-0909
(662) 841-0002
Mailing address
874 BARNES CROSSING RD, TUPELO, MS 38804-0909
(662) 841-0002
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
901401
MS
Other
Enumeration date
02/16/2016
Last updated
02/16/2016
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