Individual
JULIETTE GRANT BLOUNT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
89-56 162ND STREET, JAMAICA, NY 11432
(347) 505-7000
Mailing address
89-56 162ND STREET, JAMAICA, NY 11432-2392
(718) 657-1100
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
424450
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
F303578
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02396174
—
NY
Enumeration date
03/31/2007
Last updated
10/21/2022
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