IndividualActive
Teressa Grace, N/A
NPI 1164748281 · Nurse's Aide · Clarksdale, MS
Provider details
- NPI number
- 1164748281
- Entity type
- Individual
- Primary specialty
- Nurse's AideNursing Service Related Providers
- Credential
- N/A
- Sex
- Female
- Sole proprietor
- Yes
- License
- A0337768 (MS)
Specialties & taxonomies
Nursing Service Related Providers
Practice location
1742 N State St
Clarksdale, MS 38614-6620
Phone: (662) 621-9850
Fax: (662) 621-9849
Approximate (ZIP-level) locationGet directions
Mailing address
1742 N State St
Clarksdale, MS 38614-6620
Registry dates
- Enumerated
- 2010-04-14
- Last updated
- 2010-04-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.