Mary Grant, FNP | |
9140 Highway 51 N, Southaven, MS 38671-1233 | |
(662) 280-8222 | |
(662) 280-5541 |
Full Name | Mary Grant |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 9140 Highway 51 N, Southaven, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093970733 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | R538515 (Mississippi) | Primary |
Entity Name | Delta Gastroenterology P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285789677 PECOS PAC ID: 6800835893 Enrollment ID: O20050428000948 |
Mailing Address | Practice Location Address |
---|---|
Mary Grant, FNP 9140 Highway 51 N, Southaven, MS 38671-1233 Ph: (662) 280-8222 | Mary Grant, FNP 9140 Highway 51 N, Southaven, MS 38671-1233 Ph: (662) 280-8222 |
Ms. Sherlean D Shugars, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2149 Stateline Rd W, Southaven, MS 38671 Phone: 662-342-1112 | |
Penny Marie Holley, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3964 Goodman Rd E Ste 128-129, Southaven, MS 38672 Phone: 662-655-0456 Fax: 662-655-0457 | |
Mrs. Christy Le Anne Egbert, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 122 Airways Pl, Southaven, MS 38671 Phone: 662-349-9990 Fax: 662-349-2620 | |
Misty Burton, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 391 Southcrest Cir, Southaven, MS 38671 Phone: 662-349-2659 | |
Rebecca Holly T Robertson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 122 Airways Pl, Southaven, MS 38671 Phone: 662-349-9990 Fax: 662-349-2620 | |
Debra Gail Gill, RNC, MSN, WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4892 Briarton Dr, Southaven, MS 38672 Phone: 901-262-0332 | |
Jessica N Brown, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 55 Physicians Ln, Southaven, MS 38671 Phone: 662-655-2136 |