Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

State of Mississippi-University of Mississippi Medical Center

Organization Certified Registered Nurse Anesthetist · NPI 1831520691

State of Mississippi-University of Mississippi Medical Center is a Certified Registered Nurse Anesthetist in Grenada, Mississippi. Registered with an NPI since 2013.

In the registry since
2013

Practice location Address checks out

960 Avent Dr
Grenada, MS 38901-5230
Phone: (662) 227-7000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X

Record details

NPI number1831520691
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationState of Mississippi-University of Mississippi Medical Center
Authorized official Kevin Cook — Ceo · (601) 984-4113
Other names Ummc-Grenada Crna Services
NPI enumeratedDecember 4, 2013
Last updated in NPPESMarch 6, 2014
Mailing address960 Avent Dr, Grenada, MS 38901-5230

Other providers in Grenada