Whalio Doctors

NPI 1164748281

Teressa L Grace, NA

Practitioner Nurse's Aide Clarksdale, MS

Practice location

Address
1742 N State St, Clarksdale, MS 38614-6620
Phone
(662) 621-9850
Fax
(662) 621-9849

Registered specialties

Nurse's Aide Primary
Nursing Service Related Providers Taxonomy 376K00000X Licence A0337768 (MS)

Registry record

NPI
1164748281
Entity type
Individual
Sex (as registered)
Female
NPI issued
14 Apr 2010
Record last updated
14 Apr 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.