Individual
NANCY GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6406 GASTON AVE, DALLAS, TX 75214-4022
(940) 389-7135
Mailing address
9412 PENINSULA DR, DALLAS, TX 75218-2737
(940) 389-7135
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
1115810
TX
363LA2200X
Adult Health Nurse Practitioner
Primary
1115810
TX
Other
Enumeration date
02/29/2024
Last updated
02/29/2024
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