Organization
CARING HEART MEDICAL CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANEFER PASAL GRANTHAM FNP (NURSE PRACTITIONER/OWNER)
(276) 730-5952
Entity
Organization
Contact information
Practice address
178 HARDSCUFFLE RD, HILLSVILLE, VA 24343
(276) 730-5952
Mailing address
178 HARDSCUFFLE RD, HILLSVILLE, VA 24343-2533
(276) 730-5952
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1376187385
—
VA
Enumeration date
01/31/2023
Last updated
08/21/2024
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