Individual
VIRGINIA GRACE PIERCY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CHES
Contact information
Practice address
4611 JONATHAN DR, HORN LAKE, MS 38637-8959
(901) 440-9423
Mailing address
4611 JONATHAN DR, HORN LAKE, MS 38637-8959
(901) 440-9423
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
31262
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1214764
BUSINESS ID
MS
Enumeration date
06/12/2020
Last updated
11/27/2023
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