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

Myra Jo Grantham, NP

Individual provider Student Health Clinic/Center · NPI 1528459799

Myra Jo Grantham, NP is a Nurse Practitioner in Conway, Arkansas. Qualified in 2014, 12 years ago. Practices with Greenbrier Emergency Services, Inc, a 54-clinician group and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
12
Licensed in
AR
In the registry since
2015
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

2302 College Ave
Conway, AR 72034-6297
Phone: (501) 329-3831
Fax: (501) 450-2283
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence A004270 (AR)
Student Health Clinic/Center Taxonomy 261QS1000X · Licence A004270 (AR)

Record details

NPI number1528459799
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorYes
NPI enumeratedFebruary 10, 2015
Last updated in NPPESJune 10, 2019
Mailing address200 Corporate Blvd, Lafayette, LA 70508-3870

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Greenbrier Emergency Services, Inc. — 54 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare