Individual
JONATHAN GRANDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2700 NAPOLEON AVE, NEW ORLEANS, LA 70115-6914
(504) 899-1114
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
220325
LA
Other
Enumeration date
03/23/2020
Last updated
03/24/2023
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