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

Dr. Emily Evans Grenn

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1306336920

Dr. Emily Evans Grenn is a Student in an Organized Health Care Education/Training Program in Jackson, Mississippi. Works from 2 locations. Licensed in Louisiana.

Licensed in
LA
In the registry since
2018
Specialties on file
2

Practice location Address checks out

2500 N State St
Jackson, MS 39216-4500
Phone: (601) 984-5101
Fax: (601) 984-5110
Show map & directions

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

Additional practice locations (1)

  • 254 La-3048, Rayville, LA 71269-7126 — (318) 728-4181

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 329535 (LA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1306336920
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 18, 2018
Last updated in NPPESMay 20, 2022
Certification dateMay 6, 2022
Mailing address2500 N State St, Jackson, MS 39216-4500

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