Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GRAYSON CREEK MEDICAL CLINIC, LLC
Active OrganizationGRAYSON CREEK MEDICAL CLINIC, LLC is a Pediatric Nurse Practitioner organization located in MOSELLE, Mississippi. NPI 1184166035 is currently active in the NPPES registry. Verify at CMS.
Pediatric Nurse Practitioner · MOSELLE, MS
Registration Details
- NPI Number
- 1184166035
- Provider Type
- Organization
- NPI Issued
- Nov 9, 2016 (9.7327661347547 yrs)
- Last Updated
- Oct 19, 2017
- Licenses
-
732001 (MS)901749 (MS)732001 (MS)
Practice Information
- Address
-
3 JOHN EVERETT RDMOSELLE, MS, 394599771Browse MS providers · Browse ZIP 39459
- Phone
- 6016209991
- Primary Specialty
-
Pediatric Nurse Practitioner
363LP0200X
- Additional Specialty
- Family Nurse Practitioner
- Additional Specialty
- Pediatric Nurse Practitioner
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.