Individual
MRS. JEANETTE M GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-BC
Contact information
Practice address
17068 LANKFORD HIGHWAY, EASTVILLE, VA 23347
(757) 414-0400
(757) 414-0569
Mailing address
20280 MARKET ST, ONANCOCK, VA 23417-1331
(757) 414-0400
(757) 414-0569
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024169918
VA
363LF0000X
Family Nurse Practitioner
Primary
LG-0012313
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1154694065
—
VA
Enumeration date
02/23/2012
Last updated
03/16/2026
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