Individual
LORI HEPPARD GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
2710 GLASGOW AVE, NEWARK, DE 19702-4736
(302) 834-8686
Mailing address
124 MALLARD ST, GREENVILLE, SC 29601-4046
(864) 241-1040
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
22041
SC
363L00000X
Nurse Practitioner
AC000116
MD
363L00000X
Nurse Practitioner
LG0000330
DE
Other
Enumeration date
10/05/2005
Last updated
08/14/2020
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