MRS. Stacie K Grantham, CFNP

NPI #1215175278 in Jackson, Tennessee

Provider Information

NPI Number
1215175278
Entity Type
Individual
Name
MRS. Stacie K Grantham, CFNP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Psychiatric/Mental Health
Credential
CFNP
Enumeration Date
Jan 29, 2009
Last Updated
Sep 7, 2021

Practice Location

Address
587 SKYLINE DR
ZIP Code
38301-3938
Phone
(731) 424-8922

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily
Nurse Practitioner - Psychiatric/Mental HealthPsychiatric/Mental Health

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