NPI 1770770117

Tiffani L Grant, LD

Practitioner Nutrition Education Nutritionist Jackson, MS

Practice location

Address: 2500 North State Street Department of Medicine/Division of General Internal Med, Jackson, MS 39216-4500
Phone: (601) 984-5660
Mailing address: P.O. Box 24146 University Physicians, PLLC, Jackson, MS 39225-4146

Registered specialties

Nutrition Education Nutritionist Primary

Dietary & Nutritional Service Providers Taxonomy 133NN1002X Licence D1248 (MS)

Other Nutritionist providers in Mississippi →

Registry record

NPI: 1770770117
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Oct 2007
Record last updated: 23 Jun 2009

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.