Whalio Doctors

NPI 1558547190

Dana Gresham, RN

Practitioner Psychiatric/Mental Health Registered Nurse Iuka, MS

Practice location

Address
1213 Maria Ln, Iuka, MS 38852-1135
Phone
(662) 423-3332
Fax
(662) 286-8095
Mailing address
PO Box 839, Corinth, MS 38835-0839

Registered specialties

Psychiatric/Mental Health Registered Nurse Primary
Nursing Service Providers Taxonomy 163WP0808X Licence R862154 (MS)

Registry record

NPI
1558547190
Entity type
Individual
Sex (as registered)
Female
NPI issued
14 Jan 2008
Record last updated
14 Jan 2008

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.