Individual
JONATHAN ALAN GRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
10200 CYPRESS COVE DR, FORT MYERS, FL 33908-6690
(239) 214-2525
(239) 415-5216
Mailing address
16451 HEALTHPARK COMMONS DR, FORT MYERS, FL 33908-9501
(239) 214-2525
(239) 415-5216
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN11037320
FL
Other
Enumeration date
01/13/2025
Last updated
09/04/2025
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