NPI 1619390911
Shacoya Latrece Grady, LPN
Practice location
- Address
- 3450 W 34th Ave, Pine Bluff, AR 71603-5508
- Phone
- (870) 534-7392
- Mailing address
- 1202 S Nebraska St, Pine Bluff, AR 71601-6197
Registered specialties
Licensed Practical Nurse
Primary
Registry record
- NPI
- 1619390911
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 23 Jan 2014
- Record last updated
- 23 Jan 2014
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.