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Individual

JEANEFER GRANTHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
178 HARDSCUFFLE RD, HILLSVILLE, VA 24343-2533
(276) 733-4565
Mailing address
178 HARDSCUFFLE RD, HILLSVILLE, VA 24343-2533
(276) 733-4565
(276) 409-1091

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024178404
VA

Other

Enumeration date
11/01/2019
Last updated
04/23/2025
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