Individual
MRS. JAMIE KAY GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1305 W 18TH ST, SIOUX FALLS, SD 57105-0401
(605) 328-4973
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-6585
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CP000790
SD
363LF0000X
Family Nurse Practitioner
CP000790
SD
Other
Enumeration date
06/20/2013
Last updated
10/14/2021
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