Healthcare Provider Details

I. General information

NPI: 1619987427
Provider Name (Legal Business Name): DEBBIE ELIZABETH MCGEHEE CFNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/08/2006
Last Update Date: 10/03/2023
Certification Date: 10/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 EAST MONROE STREET
GRENADA MS
38901-4080
US

IV. Provider business mailing address

100 EAST MONROE STREET
GRENADA MS
38901-4080
US

V. Phone/Fax

Practice location:
  • Phone: 662-226-0600
  • Fax: 662-226-0644
Mailing address:
  • Phone: 662-226-0600
  • Fax: 662-226-0644

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number745671
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: