Individual
JOHANNA GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
5260 COLLINS RD UNIT 308, JACKSONVILLE, FL 32244-8246
(904) 234-2328
Mailing address
5260 COLLINS RD UNIT 308, JACKSONVILLE, FL 32244-8246
(904) 234-2328
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
5206897
FL
Other
Enumeration date
03/09/2017
Last updated
03/09/2017
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