| Grace Smith, | |
|
208 Key Dr Ste C, Madison, MS 39110-7378 | |
| (601) 760-2050 | |
| Not Available |
| Full Name | Grace Smith |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 208 Key Dr Ste C, Madison, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982311122 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 905572 (Mississippi) | Primary |
| Entity Name | Vitality Counseling |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154904035 PECOS PAC ID: 3577954650 Enrollment ID: O20211228001788 |
| Mailing Address | Practice Location Address |
|---|---|
| Grace Smith, 208 Key Dr, Madison, MS 39110-7378 Ph: () - | Grace Smith, 208 Key Dr Ste C, Madison, MS 39110-7378 Ph: (601) 760-2050 |
Catherine Elizabeth Clingan, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 129 Fountains Blvd Ste 201, Madison, MS 39110 Phone: 769-300-0730 | |
Mallory Elizabeth Boggs, A-GNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 159 Fountains Blvd Ste B, Madison, MS 39110 Phone: 601-859-8200 | |
Mary Hamilton Harkins, MSN, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1082 Gluckstadt Rd, Madison, MS 39110 Phone: 601-707-5621 | |
Mrs. Sydney Mccary Ponder, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 401 Baptist Dr Ste 301, Madison, MS 39110 Phone: 601-973-1571 Fax: 601-973-1577 | |
Ms. Larona Rachelle Searcy, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 161 Woodland Dr, Madison, MS 39110 Phone: 601-503-0335 | |
Allison Ayers Cochran, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 102 Lexington Dr Ste 100, Madison, MS 39110 Phone: 601-973-1688 Fax: 601-973-1690 | |
Heather Hontzas, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 159 Fountains Blvd Ste A, Madison, MS 39110 Phone: 769-231-1400 |