# PRISCELLA GRANT

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1134840986
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WH0200X | Home Health Registered Nurse | PHCP010616 | GA | — |
| 164W00000X | Licensed Practical Nurse | PHCP010616 | GA | — |
| 208000000X | Pediatrics Physician | PHCP010616 | GA | — |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 251J00000X | Nursing Care Agency | — | NULL | — |
| 374U00000X | Home Health Aide | — | NULL | — |
| 374U00000X | Home Health Aide | — | — | — |

## Other

- **Enumeration date:** 09/09/2022
- **Last updated:** 09/09/2022