Individual
MRS. JENNA BETH GRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, AGCNS
Contact information
Practice address
2100 STANTONSBURG RD, GREENVILLE, NC 27834-2818
(252) 816-2615
Mailing address
541 GUY SMITH RD, LA GRANGE, NC 28551-8509
(252) 560-6315
Taxonomy
Speciality
Code
Description
License number
State
364SG0600X
Gerontology Clinical Nurse Specialist
Primary
332718
NC
364SX0200X
Oncology Clinical Nurse Specialist
332718
NC
Other
Enumeration date
07/17/2025
Last updated
07/17/2025
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