Individual
MISS JILLIAN M GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1095 WEST MAIN STREET, NEW BRITAIN, CT 06053-3454
(860) 225-6064
(860) 229-1072
Mailing address
1095 WEST MAIN STREET, NEW BRITAIN, CT 06053-3454
(860) 225-6064
(860) 229-1072
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
003836
CT
Other
Enumeration date
08/07/2008
Last updated
10/17/2011
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