Individual
JADAH GRANGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1200 STELLY LN, SULPHUR, LA 70663-5134
(337) 312-1000
(337) 527-8963
Mailing address
1200 STELLY LN, SULPHUR, LA 70663-5134
(337) 312-1000
(337) 527-8963
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
234713
LA
Other
Enumeration date
05/06/2024
Last updated
05/06/2024
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