Individual
GRANT MARSHALL MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
509 MAIN STREET, BLDG A, 2ND FLOOR, SUITE B, TOMS RIVER, NJ 08753-7402
(732) 301-6904
(732) 605-5771
Mailing address
509 MAIN STREET, BLDG A, 2ND FLOOR, SUITE B, TOMS RIVER, NJ 08753-7402
(732) 301-6904
(732) 605-5771
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ00419200
NJ
Other
Enumeration date
03/22/2013
Last updated
04/02/2024
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