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

Kaitlin Granberry, CPNP-PC

Individual provider Nurse Practitioner · NPI 1093457988

Kaitlin Granberry, CPNP-PC is a Nurse Practitioner in Hattiesburg, Mississippi. Licensed in Mississippi. Registered with an NPI since 2022.

Licensed in
MS
In the registry since
2022

Practice location Address checks out

102 Medical Park
Hattiesburg, MS 39401-9080
Phone: (601) 261-5159
Fax: (601) 579-5240
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 905268 (MS)

Record details

NPI number1093457988
Entity typeIndividual (Type 1)
GenderFemale
Credentials CPNP-PC
Sole proprietorNo
NPI enumeratedApril 11, 2022
Last updated in NPPESApril 11, 2022
Certification dateApril 11, 2022

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