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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CRYSTAL DALE GRANTHAM

Active

CRYSTAL DALE GRANTHAM is a Family Nurse Practitioner healthcare provider located in RICHTON, Mississippi. NPI 1336633791 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · RICHTON, MS

Registration Details

NPI Number
1336633791
Provider Type
Individual
Gender
Female
NPI Issued
Jun 19, 2018 (8.0104682901548 yrs)
Last Updated
Dec 30, 2020
License
902689 (MS)

Practice Information

Address
210 BAY AVE
RICHTON, MS, 394769665
Browse MS providers · Browse ZIP 39476
Phone
6017889222
Fax
6017886318
Primary Specialty
Family Nurse Practitioner
363LF0000X

Other Family Nurse Practitioner Providers in RICHTON, MS

Name Credential NPI
MS. JANELL G CARTER FNP 1053342352
MR. JEFFREY JEROME MITCHELL NP 1942234232
MR. JAMES SAWYER WILLIAMS FNP 1811453236
JILLIAN CHRISTINA SMITH 1265049928
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.