| Mrs Grenisha L Young, APRN, FNP-C | |
|
2941 Terry Rd Ste 6, Jackson, MS 39212-3071 | |
| (601) 363-0566 | |
| Not Available |
| Full Name | Mrs Grenisha L Young |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 2941 Terry Rd Ste 6, Jackson, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023503554 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 902641 (Mississippi) | Primary |
| Entity Name | E. M. Dimitri, D.o. Pmc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821285974 PECOS PAC ID: 4284722059 Enrollment ID: O20120625000346 |
| Entity Name | Shapiro Dimitri Medical, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124373030 PECOS PAC ID: 5698927796 Enrollment ID: O20121219000295 |
| Entity Name | Pivotal Health And Wellness Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700533890 PECOS PAC ID: 2264819101 Enrollment ID: O20220516002361 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Grenisha L Young, APRN, FNP-C 322 Greensboro Dr, Brandon, MS 39047-4700 Ph: (601) 334-0113 | Mrs Grenisha L Young, APRN, FNP-C 2941 Terry Rd Ste 6, Jackson, MS 39212-3071 Ph: (601) 363-0566 |
Jennifer Nichols Foreman, A-GNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5657 | |
Mrs. Christian R Fortenberry, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 971 Lakeland Dr Ste 557, Jackson, MS 39216 Phone: 601-200-4560 Fax: 601-200-4580 | |
Susan B Patterson, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 501 Marshall St, Ste 104, Jackson, MS 39202 Phone: 601-969-6404 Fax: 601-973-4541 | |
Caryl P. Sumrall, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6311 Ridgewood Rd, Jackson, MS 39211 Phone: 601-952-8398 Fax: 833-972-5586 | |
Kathryn L. Navarro, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1850 Chadwick Dr, Jackson, MS 39204 Phone: 904-805-1300 Fax: 904-805-1302 | |
Mr. Bradford Steele Martin, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2500 North State Street, Department Of Orthopedics, Jackson, MS 39216 Phone: 601-815-3045 | |
Emily Brumfield, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2500 North State Street, Jackson, MS 39216 Phone: 601-984-5500 Fax: 601-984-5503 |