IndividualActive
Agnes Upchurch, FNP
NPI 1063644599 · Family Nurse Practitioner · Grenada, MS
Provider details
- NPI number
- 1063644599
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- Yes
- License
- R797137 (MS)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1350 Sunset Dr
Ste B
Grenada, MS 38901-4079
Phone: (662) 229-0669
Fax: (662) 227-9929
Approximate (ZIP-level) locationGet directions
Mailing address
1350 Sunset Dr
Grenada, MS 38901-4079
Registry dates
- Enumerated
- 2009-08-17
- Last updated
- 2020-02-11
- Certified
- 2020-02-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.