Search › Tennessee › Psychiatric/Mental Health Nurse Practitioner
Stacie Grantham, CFNP
NPI 1215175278 · on the registry since 2009
Practice
- Address
- 587 Skyline Dr
Jackson, TN 38301 - Phone
- (731) 424-8922
- Fax
- (731) 423-2922
- Organisation at this address
- The Medical Clinic Of Jackson
Internal Medicine Clinic Of Jackson PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 23
Registry record
- Primary taxonomy
- Psychiatric/Mental Health Nurse Practitioner
363LP0808X
- Also registered as
- 363LF0000X
363LF0000X - Licence states on file
- TN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-09-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee