Amy Grubbs, NP-C, PLLC
Nurse Practitioner in Hattiesburg, MS. Organization (NPI-2).
NPI number1124494109
StatusActive
Last updated in NPPESAug 13, 2015
Details
- NPI
- 1124494109
- Entity type
- Organization (NPI-2)
- Legal business name
- Amy Grubbs, NP-C, PLLC
- Organization subpart
- No
- Enumeration date
- Aug 13, 2015
- Last updated
- Aug 13, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | R860597 | MS | Yes |
Practice location
1420 S 28th AveHattiesburg, MS 39402-3107
Phone 601-705-0078
Mailing address
1420 S 28th AveHattiesburg, MS 39402-3107
Phone 601-705-0078
Authorized official
Amy L Grubbs
Certified Nurse Practitioner
6017050078
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