Carrie Mcgrew Gholston Valid NPI
Individual provider · Psychiatric/Mental Health Nurse Practitioner · Ridgeland, MS
- NPI
- 1902448301
- Type
- Individual (Type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner (Nurse Practitioner)
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 363LP0808X
- License number
- 903621 (MS)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2019-10-17
- Last updated
- 2019-10-17
Practice location
141 Township Ave Ste 107
Ridgeland, MS 39157-8697
(601) 707-5676