Individual
MRS. GIANNA M GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
104 E GROVE ST, EL DORADO, AR 71730-4607
(870) 862-2285
(870) 862-2289
Mailing address
104 E GROVE ST, EL DORADO, AR 71730-4607
(870) 862-2285
(870) 862-2289
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R56286
AR
363LF0000X
Family Nurse Practitioner
Primary
A01853
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
158023758
—
AR
Enumeration date
03/09/2006
Last updated
06/10/2019
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