Healthcare Provider Details

I. General information

NPI: 1013842269
Provider Name (Legal Business Name): CHIARA S GRESSETT RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

231 COUNTY ROAD 52816
HEIDELBERG MS
39439-3643
US

IV. Provider business mailing address

231 COUNTY ROAD 52816
HEIDELBERG MS
39439-3643
US

V. Phone/Fax

Practice location:
  • Phone: 601-498-9037
  • Fax:
Mailing address:
  • Phone: 601-498-9037
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number908555
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: