Provider Demographics
NPI:1174781553
Name:GRAYSON, ALISHA JANELLE (APRN, FNP-C)
Entity type:Individual
Prefix:MRS
First Name:ALISHA
Middle Name:JANELLE
Last Name:GRAYSON
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:MS
Other - First Name:ALISHA
Other - Middle Name:JANELLE
Other - Last Name:NAPIER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:828 WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:HUNGTINGON
Mailing Address - State:WV
Mailing Address - Zip Code:25704
Mailing Address - Country:US
Mailing Address - Phone:304-529-0466
Mailing Address - Fax:304-529-0466
Practice Address - Street 1:828 WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:HUNGTINGON
Practice Address - State:WV
Practice Address - Zip Code:25704
Practice Address - Country:US
Practice Address - Phone:304-529-0466
Practice Address - Fax:304-529-0466
Is Sole Proprietor?:No
Enumeration Date:2008-06-02
Last Update Date:2024-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV52323163W00000X
WV105808363LF0000X, 363LP0808X, 207QA0505X
MI4704412843363LF0000X
OHAPRN.CNP.0027650363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine
No163W00000XNursing Service ProvidersRegistered Nurse
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health