Whalio Doctors

NPI 1376839159

Grace Ann Nelson, OT

Practitioner Occupational Medicine Physician Ridgeland, MS

Practice location

Address
711 Avignon Dr, Ridgeland, MS 39157-5120
Phone
(601) 605-6777
Fax
(601) 607-1415

Registered specialties

Occupational Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2083X0100X Licence OT1924 (MS)

Registry record

NPI
1376839159
Entity type
Individual
Sex (as registered)
Female
NPI issued
21 Jun 2011
Record last updated
21 Jun 2011

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.