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

Mrs. Agnes Pamela Upchurch, FNP

Individual provider Family Nurse Practitioner · NPI 1063644599

Mrs. Agnes Pamela Upchurch, FNP is a Nurse Practitioner in Grenada, Mississippi. Qualified in 2009, 17 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
17
Licensed in
MS
In the registry since
2009
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

1350 Sunset Dr Ste B
Grenada, MS 38901-4079
Phone: (662) 229-0669
Fax: (662) 227-9929
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence R797137 (MS)

Record details

NPI number1063644599
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorYes
NPI enumeratedAugust 17, 2009
Last updated in NPPESFebruary 11, 2020
Certification dateFebruary 11, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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