Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MISS TIFFANI L GRANT, LD
ActiveNutrition, Education · JACKSON, MS
Registration Details
- NPI Number
- 1770770117
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 1, 2007 (18.598462615261 yrs)
- Last Updated
- Jun 23, 2009
- License
-
D1248 (MS)
Practice Information
- Address
-
2500 NORTH STATE STREETDEPARTMENT OF MEDICINE/DIVISION OF GENERAL INTERNAL MEDJACKSON, MS, 392164500Browse MS providers · Browse ZIP 39216
- Phone
- 6019845660
- Primary Specialty
-
Nutrition, Education
133NN1002X
Other Nutrition, Education Providers in JACKSON, MS
| Name | Credential | NPI |
|---|---|---|
| MS. JACINDA B. ROACH | RD | 1316139181 |
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.