Individual
DONNA GRISHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
65 S THOMAS ST, TUPELO, MS 38801-4352
(662) 350-7010
(662) 350-7011
Mailing address
PO BOX 497, AUGUSTA, AR 72006-0497
(870) 472-5348
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
905951
MS
Other
Enumeration date
11/14/2023
Last updated
04/08/2026
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