Crystal Dale Grantham
Crystal Dale Grantham is a Nurse Practitioner in Richton, Mississippi. Qualified in 2018, 8 years ago. Practices with Field Memorial Community Hospital, a 40-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Mississippi.
- Years since qualifying
- 8
- Licensed in
- MS
- In the registry since
- 2018
Practice location Address checks out
210 Bay AveRichton, MS 39476-9665
Phone: (601) 788-9222
Fax: (601) 788-6318
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 178 Highway 24 E, Centreville, MS 39631-4171 — (601) 890-0500
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence 902689 (MS) |
|---|
Record details
| NPI number | 1336633791 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | June 19, 2018 |
| Last updated in NPPES | June 12, 2026 |
| Certification date | June 12, 2026 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2018 (8 years in practice) |
| Group practice | Field Memorial Community Hospital — 40 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Richton
-
MS. Janell G Carter, FNP
206 Bay Ave, Richton, MS 39476-2941 · (601) 788-6316
-
Mr. Jeffrey Jerome Mitchell, NP
206 Bay Ave, Richton, MS 39476-2941 · (601) 788-6316
-
Jillian Christina Smith
91570 Highway 42, Richton, MS 39476-9708 · (601) 791-2101
-
Mr. James Sawyer Williams, FNP
210 Bay Ave, Richton, MS 39476-9665 · (601) 788-9222