Grandison, Shirley

Grandison, Shirley is an sole proprietor health care provider with primary practice located at 307 E Florence St , Hattiesburg MS 39401-6443. She recently has only one registered license in Nursing Service Related Providers / Nurse's Aide, which is considered as her primary health care specialty. Grandison, Shirley can be contacted via phone (850) 316-5749.

Contact Information

Primary practice address
307 E Florence St Hattiesburg MS 39401-6443
Phone: (850) 316-5749
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Nurse's Aide 376K00000X

Profile Details

NPI number 1689291338
LBN Legal business name Grandison, Shirley
Credentials Certified in Nursing Administration (CNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 29th, 2020
Last updated Jun 29th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689291338 NPPES
Mississippi Other A036266 MISSISSIPPI HEALTH BOARD

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