Grayson, Heather

Grayson, Heather is an individual health care provider with primary practice located at 104 Contempo Ave , West Monroe LA 71291-5312. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Grayson, Heather can be contacted via phone (318) 966-5437.

Contact Information

Primary practice address
104 Contempo Ave West Monroe LA 71291-5312
Phone: (318) 966-5437
Fax: (318) 966-5438
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X AP07983 Louisiana

Profile Details

NPI number 1679981294
LBN Legal business name Grayson, Heather
Credentials APRN, PNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2014
Last updated Jun 20th, 2024 - about 2 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 1679981294 NPPES
Mississippi MEDICAID 09023298
Mississippi MEDICAID 2375938

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