Individual
JUSTINA GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5301 GROVE RD STE M123, PITTSBURGH, PA 15236-5602
(412) 677-9100
Mailing address
2383 WILLIAM PENN AVE, JOHNSTOWN, PA 15909-1258
(814) 771-6918
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP028457
PA
Other
Enumeration date
10/20/2023
Last updated
10/23/2023
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