Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MYRA JO GRANTHAM, NP
Active Sole ProprietorFamily Nurse Practitioner · CONWAY, AR
Registration Details
- NPI Number
- 1528459799
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 10, 2015 (11.20908862471 yrs)
- Last Updated
- Jun 10, 2019
- Licenses
-
A004270 (AR)A004270 (AR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2302 COLLEGE AVECONWAY, AR, 720346297Browse AR providers · Browse ZIP 72034
- Phone
- 5013293831
- Fax
- 5014502283
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
- Additional Specialty
- Family Nurse Practitioner
Other Family Nurse Practitioner Providers in CONWAY, AR
| Name | Credential | NPI |
|---|---|---|
| KATHRYN S BOYD | APN | 1265514368 |
| CYNTHIA LOU GRUBBS | APN | 1033296199 |
| MRS. AMY M BURTON | APN | 1922122530 |
| MRS. LEAH MARANDA MARTIN | ANP | 1033329701 |
| MRS. HEATHER A WHITE | A.P.N. | 1093918997 |
| WESLEY WARD | APN | 1568661395 |
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.