Individual
DR. JENNIFER GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, AGPCNP-BC
Contact information
Practice address
5855 MONROE ST, SYLVANIA, OH 43560
(734) 240-8940
Mailing address
1 SEAGATE STE 800, TOLEDO, OH 43604-1558
(734) 240-8400
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4704206869
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0218858
—
OH
05
—
1184161317
—
MI
Enumeration date
01/26/2017
Last updated
03/12/2019
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