NPI 1164748281
Teressa L Grace, NA
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
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.