Grantham, Stacie K

Grantham, Stacie K is an individual health care provider with primary practice located at 587 Skyline Dr , Jackson TN 38301-3938. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Grantham, Stacie K can be contacted via phone (731) 424-8922.

Contact Information

Primary practice address
587 Skyline Dr Jackson TN 38301-3938
Phone: (731) 424-8922
Fax: (731) 423-2922
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 13513 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X APN13513 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APN13513 Tennessee

Profile Details

NPI number 1215175278
LBN Legal business name Grantham, Stacie K
Credentials Certified Family Nurse Practitioner (CFNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 29th, 2009
Last updated Sep 7th, 2021 - about 5 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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