Individual
JAMIE LYNN GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1250 S 18TH ST STE 202, FERNANDINA BEACH, FL 32034-4729
(904) 261-9786
(904) 376-3203
Mailing address
PO BOX 746652, ATLANTA, GA 30374-6652
(904) 202-2092
(904) 376-4075
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN11024258
FL
363L00000X
Nurse Practitioner
Primary
RN331484
GA
363LF0000X
Family Nurse Practitioner
11024258
FL
363LF0000X
Family Nurse Practitioner
APRN11024258
FL
Other
Enumeration date
03/15/2023
Last updated
11/06/2025
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