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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 Pllc
Inferred 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